Richard S Kim, MD | |
2885 Kaiser Dr, Building A, Santa Clara, CA 95051 | |
(408) 851-9200 | |
(408) 851-9201 |
Full Name | Richard S Kim |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 2885 Kaiser Dr, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609813476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 223893 (Massachusetts) | Secondary |
208100000X | Physical Medicine & Rehabilitation | A96721 (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 |
---|---|
Richard S Kim, MD 2885 Kaiser Dr, Building A, Santa Clara, CA 95051 Ph: (408) 851-9200 | Richard S Kim, MD 2885 Kaiser Dr, Building A, Santa Clara, CA 95051 Ph: (408) 851-9200 |
Benjamin Reyes Mandac, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-5000 | |
Todd T. Nguyen, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2885 Kaiser Dr, Santa Clara, CA 95051 Phone: 408-236-6400 | |
April Mancuso, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1871 Martin Ave, Nmci Medical Clinic, Inc, Santa Clara, CA 95050 Phone: 808-463-9234 Fax: 408-988-8585 | |
Dr. Rhonda A Weiss, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2885 Kaiser Dr, Bldg A, Santa Clara, CA 95051 Phone: 408-851-9200 |