Brina Kim

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

7841 Issued in CA

Practice address

554 E Foothill Blvd Ste 116
San Dimas, CA 91773-1222

Phone

(909) 599-8818

Fax

(909) 599-8898

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1417169145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 E FOOTHILL BLVD STE 116",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731222",
            "telephone_number": "909-599-8818",
            "fax_number": "909-599-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 E FOOTHILL BLVD STE 116",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731222",
            "telephone_number": "909-599-8818",
            "fax_number": "909-599-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "7841",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "7841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavitha Kotrappa M D Inc
• Mohamed Ihsan Kayali, D.D.S.
• Mohammed Walid Khalife, M.D.
• Jessica Kiesendahl, MFT
• Abraham Kim, OT
• Crystal Kim, RPH
• Jessie Kim
• Joanne Jae Kim
• Young Mi Kim, L.AC
• Kinetics Physical Therapy Prof Corp

• Health Service Clinic/Center in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.