Dr Kaidi He Kim, MD | |
12751 Harbor Blvd, Garden Grove, CA 92840-5800 | |
(888) 499-9303 | |
(323) 201-3207 |
Full Name | Dr Kaidi He Kim |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 12751 Harbor Blvd, Garden Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952763054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A154409 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Kaidi He Kim, MD 12751 Harbor Blvd, Garden Grove, CA 92840-5800 Ph: (888) 499-9303 | Dr Kaidi He Kim, MD 12751 Harbor Blvd, Garden Grove, CA 92840-5800 Ph: (888) 499-9303 |
Mr. Thuy Thanh Nguyen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12302 Grdn Grove Blvd #27, Garden Grove, CA 92843 Phone: 714-530-2772 Fax: 714-530-7424 | |
Dr. Raman Chopra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12555 Garden Grove Blvd, Suite 404, Garden Grove, CA 92843 Phone: 714-638-0232 Fax: 714-638-0821 | |
Dr. Robin Ann Hybl, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12665 Garden Grove Blvd, Suite 300, Garden Grove, CA 92843 Phone: 714-537-8777 Fax: 714-537-8111 | |
Dr. Shelley Yoon-mee Lee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12665 Garden Grove Blvd, #300, Garden Grove, CA 92843 Phone: 714-537-8777 Fax: 714-537-8111 | |
Irene Pe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12665 Garden Grove Blvd, Suite 606, Garden Grove, CA 92843 Phone: 714-530-5100 Fax: 714-534-9400 | |
Dr. Anh-thu Thi Phung, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10402 Westminster Ave, Suite 100c, Garden Grove, CA 92843 Phone: 714-638-1358 | |
Kaylee Rae Parsons, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12665 Garden Grove Blvd Ste 713, Garden Grove, CA 92843 Phone: 714-542-1331 |