Kyung Kook Ro, MD | |
12601 Garden Grove Blvd, Garden Grove, CA 92843 | |
(714) 636-0342 | |
(714) 636-0391 |
Full Name | Kyung Kook Ro |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 12601 Garden Grove 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 |
---|---|---|---|
1023126869 | NPI | - | NPPES |
00C514320 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C51432 (California) | Primary |
Entity Name | Anesthesia Specialists Of Orange County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134311319 PECOS PAC ID: 9830289388 Enrollment ID: O20071220000220 |
Entity Name | Kyung K Ro Md Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831378637 PECOS PAC ID: 2961573670 Enrollment ID: O20080623000574 |
Mailing Address | Practice Location Address |
---|---|
Kyung Kook Ro, MD Po Box 788, Hemet, CA 92546-0788 Ph: (714) 636-0343 | Kyung Kook Ro, MD 12601 Garden Grove Blvd, Garden Grove, CA 92843 Ph: (714) 636-0342 |
James Lee, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-741-2772 Fax: 714-741-3364 | |
Dr. Gene Kyo Oh, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12900a Garden Grove Blvd, 122, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391 | |
Thomas H Ho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391 | |
Dr. Tam-nguyen Thi Pham, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 12900a Garden Grove Blvd, 122, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391 | |
Sama Wangsanutr, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12900a Garden Grove Blvd, #122, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391 | |
Thien T Tarin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12900a Garden Grove Blvd, Ste #122, Garden Grove, CA 92842 Phone: 714-636-0342 Fax: 714-636-0391 |