Dr Chang O Kim, MD | |
80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 | |
(510) 451-6266 | |
(510) 451-6260 |
Full Name | Dr Chang O Kim |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 23 Years |
Location | 80 Grand Ave, Oakland, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720152507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | A82792 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - West La | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Chang O Kim, MD 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 Ph: (510) 451-6266 | Dr Chang O Kim, MD 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 Ph: (510) 451-6266 |
George A. Pugh, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Grand Ave Fl 5, Oakland, CA 94612 Phone: 510-451-6266 Fax: 510-451-6260 | |
Dr. Christopher A Cox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Harrison St Fl 7, Oakland, CA 94612 Phone: 925-295-4000 | |
Austin Arlo Pitcher, MD, PHD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3315 Broadway, Oakland, CA 94611 Phone: 925-939-8585 | |
Dr. James Lyman Shively, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 | |
Dr. Eric O. Eisemon, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Dr. Wayne Pan, MD, PHD, MBA Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5901 Vallejo St Apt D, Oakland, CA 94608 Phone: 650-922-8131 | |
Jeffrey A. Mann, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 30th St Ste 530, Oakland, CA 94609 Phone: 510-422-5150 Fax: 510-422-5149 |