Kimberly W Larsen, MD | |
7373 West Ln, Stockton, CA 95210-3377 | |
(209) 476-2000 | |
Not Available |
Full Name | Kimberly W Larsen |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 7373 West Ln, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134207947 | NPI | - | NPPES |
00A853270 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A85327 (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 | Sacramento Native American Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588756530 PECOS PAC ID: 2365547023 Enrollment ID: O20200701000784 |
Mailing Address | Practice Location Address |
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Kimberly W Larsen, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Kimberly W Larsen, MD 7373 West Ln, Stockton, CA 95210-3377 Ph: (209) 476-2000 |
Vikram Malhotra, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-1494 | |
Zeba Fatima Vanek, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-4005 Fax: 209-645-6344 | |
John A. Traylor, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Dr. Meherji A Oshtory, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2626 N Califonia St, Suite I, Stockton, CA 95204 Phone: 209-944-5730 Fax: 209-944-0129 | |
Mrs. Paramjit Kaur Gill, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1805 N California St, Suite 202, Stockton, CA 95204 Phone: 209-467-1500 Fax: 209-467-1502 | |
Shree L. Bhaskar, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Dr. Stephanie Dong, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-4005 |