Peter Yun Soo Kim, MD | |
26357 Mcbean Pkwy, Valencia, CA 91355-4488 | |
(661) 222-2620 | |
(661) 222-2685 |
Full Name | Peter Yun Soo Kim |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 26357 Mcbean Pkwy, Valencia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467477638 | NPI | - | NPPES |
00A488060 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A48806 (California) | Primary |
Entity Name | Providence Facey Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
Mailing Address | Practice Location Address |
---|---|
Peter Yun Soo Kim, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5637 | Peter Yun Soo Kim, MD 26357 Mcbean Pkwy, Valencia, CA 91355-4488 Ph: (661) 222-2620 |
Dr. Michelle Grino Campana, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23823 Valencia Blvd, Suite 120, Valencia, CA 91355 Phone: 661-253-4971 | |
Rebecca Whitney Mandel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27867 Smyth Dr, Suite 100, Valencia, CA 91355 Phone: 661-294-2229 | |
Mona Arvind Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23763 Valencia Blvd, Valencia, CA 91355 Phone: 661-287-1551 Fax: 661-255-8037 | |
Dr. Sunanda Reddy Vadapalli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23823 Valencia Blvd, Suite 120, Valencia, CA 91355 Phone: 661-253-4971 Fax: 661-253-4972 | |
Hasan Murad Chowdhury, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 26357 Mcbean Pkwy, Valencia, CA 91355 Phone: 661-222-2620 Fax: 661-222-2633 | |
Hadar Levgur-fields, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23763 Valencia Blvd, Valencia, CA 91355 Phone: 661-287-1551 Fax: 661-799-2952 | |
Dr. Benjamin Harris Meisel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27506 Berkshire Hills Pl, Valencia, CA 91354 Phone: 661-284-5969 Fax: 661-284-5969 |