Dr Ilkwon Kim, MD in Los Angeles, CA

Dr Ilkwon Kim, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. His current practice location is 412 S Wilton Pl Apt 402, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (121) 380-0101.

Dr Ilkwon Kim is licensed to practice in California (license number C50652) 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 1639141773.

Contact Information

	Dr Ilkwon Kim, MD
	412 S Wilton Pl Apt 402, Los Angeles, CA 90020-4586
	(121) 380-0101
	(213) 800-1010

Map and Direction

Physician's Profile

Full Name	Dr Ilkwon Kim
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	412 S Wilton Pl Apt 402, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639141773
Provider Enumeration Date: 02/03/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1759757701
Enrollment ID: I20221116003201

Medical Identifiers

Medical identifiers for Dr Ilkwon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639141773	NPI	-	NPPES
D3254925	Other	CA	DRIVERS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	C50652 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	C50652 (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 Ilkwon 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 Ilkwon Kim, MD 412 S. Wilton Place, Unit 402, Los Angeles, CA 90020 Ph: (121) 380-01010	Dr Ilkwon Kim, MD 412 S Wilton Pl Apt 402, Los Angeles, CA 90020-4586 Ph: (121) 380-0101

Reviews and Comments

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Dr Ilkwon Kim, MD - Medicare Radiology in Los Angeles, CA