Andy Kinkao Ma, MD | |
501 J St Ste 320, Sacramento, CA 95814-2325 | |
(916) 497-3019 | |
Not Available |
Full Name | Andy Kinkao Ma |
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Gender | Male |
Speciality | Family Medicine |
Location | 501 J St Ste 320, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336726991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A184770 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Andy Kinkao Ma, MD 501 J St Ste 320, Sacramento, CA 95814-2325 Ph: (916) 497-3019 | Andy Kinkao Ma, MD 501 J St Ste 320, Sacramento, CA 95814-2325 Ph: (916) 497-3019 |
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