Dr Kwan Kim, MD is a medicare enrolled "Plastic Surgery" physician in Van Nuys, California. His current practice location is
15211 Vanowen St Ste 206, Van Nuys, California. You can reach out to his office (for appointments etc.) via phone at
(818) 616-3070.
Dr Kwan Kim is licensed to practice in California (license number A40634) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336241702.
Physician's Profile
| Full Name | Dr Kwan Kim |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 15211 Vanowen St Ste 206, Van Nuys, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336241702
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 11/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123051927
- Enrollment ID: I20050913000562
Medical Identifiers
Medical identifiers for Dr Kwan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336241702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | A40635 (California) | Secondary |
| 208200000X | Plastic Surgery | A40634 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kwan Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kwan Kim, MD
15211 Vanowen St, #206,
Van Nuys, CA 91405
Ph: (818) 616-3070 | Dr Kwan Kim, MD
15211 Vanowen St Ste 206,
Van Nuys, CA 91405-3620
Ph: (818) 616-3070 |
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