Dr Kimberly D Koppenbrink, MD | |
10666 N Torrey Pines Rd, Suite # 206, La Jolla, CA 92037-1027 | |
(858) 455-9100 | |
Not Available |
Full Name | Dr Kimberly D Koppenbrink |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 15 Years |
Location | 10666 N Torrey Pines Rd, La Jolla, 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 |
---|---|---|---|
1114257227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A116634 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Zion | San diego, 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 Kimberly D Koppenbrink, MD 10666 N Torrey Pines Rd, Suite # 206, La Jolla, CA 92037-1027 Ph: (858) 455-9100 | Dr Kimberly D Koppenbrink, MD 10666 N Torrey Pines Rd, Suite # 206, La Jolla, CA 92037-1027 Ph: (858) 455-9100 |
Noor Qaddour, DO Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 | |
Dr. Laura J. Nicholson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-455-9100 Fax: 858-784-5933 | |
Ashkan Hayatdavoudi, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 | |
Darius Leung, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10666 N. Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-3200 | |
Ola Jandali, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 | |
Vivian Sardone, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 |