Kim M Hargis, MD | |
6041 Cadillac Ave, Los Angeles, CA 90034-1702 | |
(323) 857-2000 | |
Not Available |
Full Name | Kim M Hargis |
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Gender | Female |
Speciality | Surgery |
Location | 6041 Cadillac Ave, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851443071 | NPI | - | NPPES |
00A844350 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | A84435 (California) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | American Current Care Of Illinois Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285071241 PECOS PAC ID: 6002040276 Enrollment ID: O20131002000446 |
Mailing Address | Practice Location Address |
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Kim M Hargis, MD 393 E Walnut St, Phr Group & Provider Enrollment Unit, 3rd Flr, Pasadena, CA 91188-0001 Ph: (626) 405-7966 | Kim M Hargis, MD 6041 Cadillac Ave, Los Angeles, CA 90034-1702 Ph: (323) 857-2000 |
Dr. Peyman Benharash, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10833 Leconte Ave Room 62-215, Los Angeles, CA 90095 Phone: 310-206-6717 Fax: 310-206-5901 | |
Mr. Willis H. Wagner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Suite 615e, Los Angeles, CA 90048 Phone: 310-652-8132 Fax: 310-659-3815 | |
Dr. Christian Jesus Ochoa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033 Phone: 323-442-5849 Fax: 323-442-5956 | |
Dr. Jane Kim Yang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095 Phone: 310-206-6294 Fax: 310-794-9603 | |
Laura Bloom, MD, MS, MBA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2051 Marengo Street, La General Medical Center, Inpatient Tower Room C5l100, Los Angeles, CA 90033 Phone: 510-589-3740 | |
Dr. Kaushal Ramesh Patel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 San Pablo St, Suite 514, Los Angeles, CA 90033 Phone: 323-442-5988 Fax: 323-442-5735 | |
Rosemary D Dearnley, RN Surgery Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-9554 |