Kathleen M Ting, MD | |
320 Lennon Ln, Walnut Creek, CA 94598-2419 | |
(925) 906-2000 | |
Not Available |
Full Name | Kathleen M Ting |
---|---|
Gender | Female |
Speciality | Dermatology - Mohs-micrographic Surgery |
Location | 320 Lennon Ln, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407934599 | NPI | - | NPPES |
00C516690 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | C51669 (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 |
Entity Name | Golden State Dermatology Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 |
Mailing Address | Practice Location Address |
---|---|
Kathleen M Ting, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Kathleen M Ting, MD 320 Lennon Ln, Walnut Creek, CA 94598-2419 Ph: (925) 906-2000 |
Grace Kim Sohn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 355 Lennon Ln Ste 255, Walnut Creek, CA 94598 Phone: 925-932-7704 | |
Ji Won Ahn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 320 Lennon Ln Dept Of, Walnut Creek, CA 94598 Phone: 925-817-5678 | |
E. Robin Slovak, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 320 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-906-2000 | |
Dr. Min-wei Christine Lee, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 370 N Wiget Ln, Ste 125, Walnut Creek, CA 94598 Phone: 925-932-9389 Fax: 925-393-5996 | |
Dr. Megan Macklin Moore, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 320 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-906-2000 | |
Mrs. Christina Daria Fonseca, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 320 Lennon Lane Kaiser Permanente Medical Group, Department Of Dermatology, Walnut Creek, CA 94598 Phone: 925-617-5600 Fax: 916-442-5702 | |
Manisha Manmohan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 320 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-817-5656 |