Dr Ji-eon Kim, MD | |
280 W Macarthur Blvd, Oakland, CA 94611-5642 | |
(510) 752-6400 | |
Not Available |
Full Name | Dr Ji-eon Kim |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 19 Years |
Location | 280 W Macarthur Blvd, 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 |
---|---|---|---|
1043433535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | A99557 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Dr Ji-eon Kim, MD 532 30th St Apt 7, Oakland, CA 94609-3223 Ph: (510) 752-6400 | Dr Ji-eon Kim, MD 280 W Macarthur Blvd, Oakland, CA 94611-5642 Ph: (510) 752-6400 |
Bon B. Hartline, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Raul M. Cruz, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Luke J. Schloegel, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
William Beck Lewis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2961 Summit St, Suite 1, Oakland, CA 94609 Phone: 510-465-0941 Fax: 510-465-0941 | |
Joel C Ross, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 411 30th St Ste 403, Oakland, CA 94609 Phone: 510-724-6662 Fax: 510-724-1923 | |
Dr. Bernard J. Drury, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2961 Summit St, Suite 1, Oakland, CA 94609 Phone: 510-465-0941 Fax: 510-465-0941 |