Han Soo Kim, MD | |
1325 E Church St, Suite 204, Santa Maria, CA 93454 | |
(805) 346-3456 | |
(805) 347-3457 |
Full Name | Han Soo Kim |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 26 Years |
Location | 1325 E Church St, Santa Maria, 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 |
---|---|---|---|
1124078282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A92762 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marian Regional Medical Center | Santa maria, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Specialists A Medical Corporation | 3971573544 | 2 |
Pacific Central Coast Health Centers | 9739091364 | 213 |
Entity Name | Pacific Central Coast Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
Entity Name | Surgical Specialists A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235168337 PECOS PAC ID: 3971573544 Enrollment ID: O20040729001604 |
Mailing Address | Practice Location Address |
---|---|
Han Soo Kim, MD Po Box 1206, Goleta, CA 93116-1206 Ph: (805) 964-3838 | Han Soo Kim, MD 1325 E Church St, Suite 204, Santa Maria, CA 93454 Ph: (805) 346-3456 |
Ray Herman Rivas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 316 S Stratford Ave Ste C, Santa Maria, CA 93454 Phone: 805-348-3700 Fax: 805-348-3730 | |
Thomas Lee Bosshardt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Church St Ste 202, Santa Maria, CA 93454 Phone: 805-346-3456 Fax: 805-346-3454 | |
Dr. Edward Lawrence Felix, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 316 South Stratford Avenue, Suite B, Santa Maria, CA 93454 Phone: 805-332-8446 Fax: 805-332-8173 | |
Dr. Carol Ann Mccloskey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 316 S Stratford Ave, Suite B, Santa Maria, CA 93454 Phone: 805-332-8446 Fax: 805-332-8173 | |
Joseph Dean Centeno, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 316 S Stratford Ave, Suite C, Santa Maria, CA 93454 Phone: 805-348-3700 Fax: 805-683-3400 | |
Edward Cho, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 316 S Stratford Ave Ste B, Santa Maria, CA 93454 Phone: 805-332-8446 Fax: 805-332-8173 |