Howard L Kim, MD | |
999 Corporate Dr Ste 100, Ladera Ranch, CA 92694-2149 | |
(800) 638-7564 | |
(866) 634-2766 |
Full Name | Howard L Kim |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 999 Corporate Dr Ste 100, Ladera Ranch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437239605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 000000G86646 (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 |
---|---|
Howard L Kim, MD 812 Avis Dr, Ann Arbor, MI 48108-9649 Ph: (800) 638-7564 | Howard L Kim, MD 999 Corporate Dr Ste 100, Ladera Ranch, CA 92694-2149 Ph: (800) 638-7564 |
Mohamed El-menshawi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 333 Corporate Dr Ste 260, Ladera Ranch, CA 92694 Phone: 949-768-2988 | |
Adam D. Borecky, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 333 Corporate Dr Ste 260, Ladera Ranch, CA 92694 Phone: 949-768-2988 Fax: 949-768-2980 | |
Dr. Jerry Francisco Benzl, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 333 Corporate Dr, Ladera Ranch, CA 92694 Phone: 949-768-2988 | |
Lindsey Law, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 Corporate Dr Ste 260, Ladera Ranch, CA 92694 Phone: 949-768-2988 | |
Kevin M. Kinback, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 Corporate Dr Ste 260, Ladera Ranch, CA 92694 Phone: 949-768-2988 Fax: 949-768-2980 |