Carlen Eva Kim, | |
100 Moody Ct Ste 110, Thousand Oaks, CA 91360-6076 | |
(310) 825-5721 | |
Not Available |
Full Name | Carlen Eva Kim |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 100 Moody Ct Ste 110, Thousand Oaks, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215188693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 2134 (California) | Secondary |
231H00000X | Audiologist | AU2134 (California) | Primary |
Provider Name | Regents Of The University Of California Los Angeles |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609194497 PECOS PAC ID: 4587857727 Enrollment ID: O20101020001402 |
Mailing Address | Practice Location Address |
---|---|
Carlen Eva Kim, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707 | Carlen Eva Kim, 100 Moody Ct Ste 110, Thousand Oaks, CA 91360-6076 Ph: (310) 825-5721 |
Dr. Gina Gracia, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 100 Moody Ct Ste 110, Thousand Oaks, CA 91360 Phone: 310-825-5721 | |
Emily Teresa Darchangelo, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-0824 | |
Rachael Athenia Krager Salin, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 100 Moody Ct Ste 110, Thousand Oaks, CA 91360 Phone: 310-825-5721 | |
Taylor Holt, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-0824 | |
Elizabeth Agboola, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 100 Moody Ct Ste 110, Thousand Oaks, CA 91360 Phone: 310-825-5721 Fax: 310-825-3344 | |
Dr. Carolann O'rourke, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 555 Marin St, Thousand Oaks, CA 91360 Phone: 818-746-7655 |