Table family_pact_providers_profile_cys_2020

Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like K*

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z *

provider_number	npi_provider_number	owner_number	service_location_number	provider_business_legal_name	enrollment_status_effective_date	provider_type_code	provider_type_code_desc	provider_license_number	provider_specialty_code	provider_specialty_code_desc	out_of_state_ind_desc	provider_address_county_code	provider_address_county_desc	attention_line	provider_address_line1	provider_address_line2	provider_address_city	provider_address_state	provider_address_zip	provider_phone_number	provider_address_latitude	provider_address_longitude	mssa_id	tract_id
1013311448	1013311448	1	1	Korean Health Education	12-Mar-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	INFORMATION & RESEARCH	3255 Wilshire Blvd	Ste 120	Los Angeles	CA	90010-1405	(213) 637-1070	34.061805	-118.292895	78.2e	2121.01
1023167541	1023167541	1	1	Kern County Department	15-Sep-93	41	COMMUNITY CLINIC	None	None	UNKNOWN	In state provider	15	Kern	PUBLIC HEALTH	1800 Mount Vernon Ave	None	Bakersfield	CA	93306-3302	(661) 321-3000	35.383041	-118.967549	None	None
1043272172	1043272172	1	1	Kaweah Delta Health Care	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	DISTRICT	1014 San Juan Ave	None	Exeter	CA	93221-1312	(559) 624-2000	36.298896	-119.132496	228.2	15.01
1073578134	1073578134	1	1	Kamras & Polansky Mds In	25-May-80	22	PHYSICIANS GROUP	YYY49032Y	None	UNKNOWN	In state provider	34	Sacramento	None	5821 Jameson Ct	None	Carmichael	CA	95608-0820	(916) 486-0411	38.651156	-121.328832	139b	76.01
1104067636	1104067636	1	1	Kaweah Delta Hlth Care Dist	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	839 N Sequoia Ave	None	Lindsay	CA	93247-1424	(559) 624-2000	36.212938	-119.096107	228.2	26.01
1104881523	1104881523	1	1	Kumaratne, Mohan Md	13-Mar-81	26	PHYSICIANS	A35327	1	General Practice	In state provider	30	Orange	None	17692 Beach Blvd	Ste 200	Huntington Beach	CA	92647-6810	(714) 847-6975	33.705708	-117.989099	116s	992.12
1144371436	1144371436	1	1	Kim, Mee Sook, Md	3-May-85	26	PHYSICIANS	A00039215	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	14624 Sherman Way	Ste 207	Van Nuys	CA	91405-2288	(818) 781-8970	34.201206	-118.451927	78.2zz	1272.2
1154614097	1154614097	1	1	Kaweah Delta Health Care	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	DISTRICT	180 E Antelope Ave	None	Woodlake	CA	93286-1506	(559) 624-2000	36.415571	-119.097881	228.1	7.02
1205845583	1205845583	1	1	Kim, Hyuk Do Inc	11-Oct-01	26	PHYSICIANS	20A7982	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	13563 Van Nuys Blvd	None	Pacoima	CA	91331-3029	(818) 890-5300	34.261391	-118.428525	78.2ppp	1046.2
1376687061	1376687061	1	1	Kings Co Hlth Dept 2	19-Dec-79	48	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZT11796	None	UNKNOWN	In state provider	16	Kings	OUTPATIENT CLINIC	330 Campus Dr	None	Hanford	CA	93230-4375	(209) 582-3211	36.326796	-119.663642	69	10.02
1396893723	1396893723	1	1	Kpaduwa, Julius C Md Amc	22-Jul-02	22	PHYSICIANS GROUP	G00051500	None	UNKNOWN	In state provider	19	Los Angeles	None	11017 Valley Mall	None	El Monte	CA	91731-2617	(626) 575-8342	34.073931	-118.035333	78.2oo	4327
1417378597	1417378597	1	1	Kedren Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	CENTER INC	4211 South Avalon Blvd	Suite A	Los Angeles	CA	90011-5622	(323) 233-0425	34.007344	-118.265245	78.2ggg	2283.2
1427089150	1427089150	1	1	Kings Comprehensive	1-Apr-96	22	PHYSICIANS GROUP	FNP022686	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	16	Kings	WOMEN'S HLTHCARE MED GRP	460 Greenfield Ave	Ste 1	Hanford	CA	93230-3500	(559) 584-0141	36.331054	-119.657461	69	10.01
1497933691	1497933691	1	1	Koryo Health Foundation	2-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	None	1058 S Vermont Ave	None	Los Angeles	CA	90006-2721	(213) 731-0686	34.050843	-118.291606	78.2b	2134.02
1568648277	1568648277	1	1	Kidcare Express	2-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	37	San Diego	None	1809 National Ave	None	San Diego	CA	92113-2113	(619) 515-2561	32.701685	-117.146601	161c	50
1588663769	1588663769	1	1	Kaweah Delta Health Care	1-Feb-02	24	PHARMACIES/PHARMACISTS	120000580	None	UNKNOWN	In state provider	54	Tulare	DISTRICT	400 W Mineral King Ave	None	Visalia	CA	93291-6237	(559) 624-2000	36.327346	-119.293437	233	12
1659654663	1659654663	1	1	Kai, Patricia A C Np	14-Dec-12	7	CERTIFIED NURSE PRACTIONER	RN0656033	None	UNKNOWN	In state provider	19	Los Angeles	None	15747 Woodruff Ave	None	Bellflower	CA	90706-4017	(562) 867-1570	33.890512	-118.117474	78.2m	5541.04
1710037346	1710037346	1	1	Khan,h Joseph Md Inc	1-Nov-01	22	PHYSICIANS GROUP	FNP027745	8	Family Practice	In state provider	30	Orange	PARAMOUNT CARE MED GRP	12881 Chapman Ave	None	Garden Grove	CA	92840-4100	(714) 972-2111	33.788871	-117.908123	116r	884.03
1750608931	1750608931	1	1	Kamali, Pourang Md Inc	25-Mar-13	26	PHYSICIANS	A00090859	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	37	San Diego	None	769 Medical Center Ct	Ste 301	Chula Vista	CA	91911-6602	(619) 754-6120	32.618563	-117.024187	161s	133.1
1760545503	1760545503	1	1	Katukota, Vijay C Md Inc	28-Feb-08	26	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	A MEDICAL CORPORATION	1177 N Park Ave	None	Pomona	CA	91768-3028	(909) 623-9900	34.069685	-117.754943	78.2ss	4023.03
1760545503	1760545503	1	5	Katukota, Vijay C Md Inc	28-Jul-10	22	PHYSICIANS GROUP	A00038343	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	36	San Bernardino	None	9190 Sierra Ave	Ste 104	Fontana	CA	92335-8613	(909) 356-4567	34.086871	-117.435753	151f	31.02
1760596712	1760596712	1	1	Kern Womens Health	25-Sep-07	22	PHYSICIANS GROUP	FNP033148	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	15	Kern	GROUP INC	2005 17th Street	None	Bakersfield	CA	93301-4203	(661) 322-6700	35.374371	-119.02478	66d	17
1780733048	1780733048	1	1	Kpaduwa, Julius C Md Amc	24-Jul-19	22	PHYSICIANS GROUP	None	30	Radiology, Pedodontist (Dentists Only)	In state provider	19	Los Angeles	None	15913 Amar Rd	None	La Puente	CA	91744-2202	(626) 330-9535	34.036362	-117.937883	78.2yyy	4075.02
1841607801	1841607801	1	1	Kaweah Delta Health Care	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	DISTRICT	355 Monte Vista Drive	Ste A	Dinuba	CA	93618-9229	(559) 624-2000	36.540128	-119.403985	227.1	5.02
1902196256	1902196256	1	1	Kern Rural Wellness Centers	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	15	Kern	INC	146 N Hill Road	None	Arvin	CA	93203-1014	(661) 855-4468	35.209734	-118.830934	61	63.01
1942449285	1942449285	1	1	Khalifa, Ahmad S Md Apc	6-May-09	26	PHYSICIANS	A00079995	None	UNKNOWN	In state provider	19	Los Angeles	GY AND WOMEN'S HEALTH	720 Alamitos Ave	None	Long Beach	CA	90813-4726	(562) 546-2496	33.775722	-118.180067	78.2jjj	5764.01