Dr Christine Miran Kim, MD | |
5800 Hollis St Fl 4, Emeryville, CA 94608-2016 | |
(510) 806-2100 | |
(510) 806-2558 |
Full Name | Dr Christine Miran Kim |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 9 Years |
Location | 5800 Hollis St Fl 4, Emeryville, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992192033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | A145587 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stanford Health Care | Stanford, 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 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | University Healthcare Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760531198 PECOS PAC ID: 6305748799 Enrollment ID: O20040126000292 |
Entity Name | Lpch Medical Group Div Of Lucile |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
---|---|
Dr Christine Miran Kim, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: () - | Dr Christine Miran Kim, MD 5800 Hollis St Fl 4, Emeryville, CA 94608-2016 Ph: (510) 806-2100 |
Reza Vaezeafshar, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5800 Hollis St, Emeryville, CA 94608 Phone: 510-465-0941 |