Kristen Lum, MD | |
747 52nd St, Oakland, CA 94609-1809 | |
(510) 428-3000 | |
Not Available |
Full Name | Kristen Lum |
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Gender | Female |
Speciality | Pediatrics |
Location | 747 52nd St, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013343979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A127332 (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 |
Mailing Address | Practice Location Address |
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Kristen Lum, MD 747 52nd St, Oakland, CA 94609-1809 Ph: () - | Kristen Lum, MD 747 52nd St, Oakland, CA 94609-1809 Ph: (510) 428-3000 |
Mrs. Natalie Plotkin, MS, ACPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3484 | |
Rebecca Romanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3331 Fax: 510-428-3331 | |
Dr. Theodore John Chaconas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3237 Fax: 510-601-3979 | |
Dr. Robert E Mines Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5715 Market St, Oakland, CA 94608 Phone: 510-652-5161 Fax: 510-652-4225 | |
Spencer L Magargal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 | |
Dr. Arathi Lakhole, M.D, M.P.H Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3058 |