Dr Katherine R Clyman, MD | |
7862 El Cajon Blvd, La Mesa, CA 91942-6712 | |
(801) 953-5957 | |
Not Available |
Full Name | Dr Katherine R Clyman |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 7862 El Cajon Blvd, La Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497789747 | NPI | - | NPPES |
100509884 | Medicaid | NV | |
807481200 | Medicaid | ID | |
8704683770001 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 54014671205 (Utah) | Secondary |
207N00000X | Dermatology | A98484 (California) | Primary |
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 Katherine R Clyman, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: () - | Dr Katherine R Clyman, MD 7862 El Cajon Blvd, La Mesa, CA 91942-6712 Ph: (801) 953-5957 |
Dr. Jessica Kim So, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7862 El Cajon Blvd, La Mesa, CA 91942 Phone: 619-644-6401 | |
Dr. Sam Khalifian, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr Ste 300, La Mesa, CA 91942 Phone: 619-462-1670 Fax: 619-462-3209 | |
Brian M Kleker, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8080 Parkway Dr, La Mesa, CA 91942 Phone: 619-528-5000 | |
Dr. Shinko Lin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr Ste 300, La Mesa, CA 91942 Phone: 619-462-1670 Fax: 619-462-3209 | |
Dr. Stephan John Kempiak, M.D,PH.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8080 Parkway Dr, La Mesa, CA 91942 Phone: 800-290-5000 | |
Minal Damani Jackson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 8080 Parkway Dr, La Mesa Medical Offices, La Mesa, CA 91942 Phone: 619-589-3403 Fax: 619-589-3432 | |
Dr. Erik O. Gilbertson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10862 Calle Verde, La Mesa, CA 91941 Phone: 619-660-1820 |