| Mrs Christine Yang Ko, MD | |
|
6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5238 | |
| (619) 229-3909 | |
| (619) 229-3902 |
| Full Name | Mrs Christine Yang Ko |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 6699 Alvarado Rd, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265466551 | NPI | - | NPPES |
| CZ398Z | Other | CA | INDIVIDUAL PTAN |
| W12026 | Other | CA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A91210 (California) | Primary |
| Entity Name | Innovative Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003407735 PECOS PAC ID: 1759797251 Enrollment ID: O20210308002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Christine Yang Ko, MD 6699 Alvarado Rd, Ste 2100, San Diego, CA 92120-5238 Ph: (619) 229-3909 | Mrs Christine Yang Ko, MD 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5238 Ph: (619) 229-3909 |
Dr. Kyle P. Edmonds, M.D., FAAHPM Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8216, San Diego, CA 92103 Phone: 858-534-6091 Fax: 619-543-3947 | |
Jessica C. Cook, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4291 Robbins St, San Diego, CA 92122 Phone: 858-531-5692 | |
Robina Ahmad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6973 Linda Vista Rd, San Diego, CA 92111 Phone: 858-279-9676 | |
Dr. Anna M Mercer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Bashir A. Rawi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Martin P. Murillo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Erwin Guzman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 |