Matthew Kung, MD | |
7373 West Ln, Stockton, CA 95210-3377 | |
(209) 476-2000 | |
Not Available |
Full Name | Matthew Kung |
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Gender | Male |
Speciality | Surgery |
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 |
---|---|---|---|
1407142342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 248742 (Massachusetts) | Secondary |
208600000X | Surgery | 184022 (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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Matthew Kung, MD 736 Cambridge St, Brighton, MA 02135-2907 Ph: () - | Matthew Kung, MD 7373 West Ln, Stockton, CA 95210-3377 Ph: (209) 476-2000 |
Dinah J. Hanna, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Dr. Donald P Garcia, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 221 Tuxedo Court, Suite E, Stockton, CA 95204 Phone: 209-465-2711 Fax: 209-465-2771 | |
Dr. Rowena Lopez Ramirez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2324 Lever Blvd, Stockton, CA 95206 Phone: 209-464-4743 Fax: 209-464-4755 | |
Julio E Vaquerano, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-735-5000 Fax: 209-735-4374 | |
Mercedes Grajales-zweigle, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 330-493-4443 Fax: 330-493-8677 | |
Dr. Steven Lee Goldberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2216 N California St Ste A, Stockton, CA 95204 Phone: 209-948-2001 Fax: 209-948-2836 | |
Teresa S Gross, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1901 N California St, Stockton, CA 95204 Phone: 209-946-6800 Fax: 209-946-6805 |