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SAMUEL TAE-WAN KIM
NPI 1710742549
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since February 20, 2024
885 TIVERTON DRIVE, LOS ANGELES, CA 90095(310) 825-6373 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samuel Tae-wan Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL TAE-WAN KIM (NPI 1710742549) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1710742549
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL TAE-WAN KIM
Location Address885 TIVERTON DRIVELos Angeles, CA 90095-0001
Mailing Address885 Tiverton DriveLos Angeles, CA 90095-0001 · (310) 825-6373
Phone(310) 825-6373
Sole ProprietorYes
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1710742549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
885 TIVERTON DRIVE, Los Angeles, CA 90095
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISAURA FROST LINS PHD
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
ESMERALDA RUIZ
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
KUSHAGRA TEWARI MD
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
ZOE REBECCA FORD ADELSHEIM
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
RUJUTA SAMIR SATHE
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (408) 594-5925
TANYA DATTA
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
YADIRA LIZBETH BRIBIESCA LEON MD
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
EMMA CLAIRE BILLINGS
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1710742549. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Samuel Kim located?

Samuel Kim practices at 885 Tiverton Drive, Los Angeles, CA 90095. The listed phone number is (310) 825-6373.

What is Samuel Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.