Grace C Kwok, MD | |
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
(415) 444-2000 | |
Not Available |
Full Name | Grace C Kwok |
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Gender | Female |
Speciality | Pediatrics |
Location | 99 Montecillo Rd, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780768853 | NPI | - | NPPES |
00G785510 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | G78551 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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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 |
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Grace C Kwok, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Grace C Kwok, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Shelley A Palfy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4000 Civic Center Dr, #205, San Rafael, CA 94903 Phone: 415-479-7244 Fax: 415-479-0917 | |
Dr. Mercedes Traverso, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1650 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-4460 | |
Dr. Jennifer Catherine Hanson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4000 Civic Center Dr Ste 100, San Rafael, CA 94903 Phone: 215-847-3133 | |
Aimy Grace Taniguchi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6 Sierra Cir, San Rafael, CA 94901 Phone: 415-454-7388 | |
Andrea H. Feeback-lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Dr. Fernando Ulloa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 D St, Suite 113, San Rafael, CA 94901 Phone: 415-454-4100 | |
Ann Troy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Northgate Dr, Suite #9, San Rafael, CA 94903 Phone: 415-479-9797 Fax: 415-479-9712 |