Shannon Leung Kim, | |
8910 Villa La Jolla Drive, Suite 110, La Jolla, CA 92037 | |
(858) 203-4962 | |
Not Available |
Full Name | Shannon Leung Kim |
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Gender | Female |
Speciality | Pediatrics |
Location | 8910 Villa La Jolla Drive, La Jolla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588077564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A162026 (California) | Primary |
Entity Name | University Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
Mailing Address | Practice Location Address |
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Shannon Leung Kim, 7910 Frost Street, Suite 350, San Diego, CA 92123 Ph: (858) 496-4800 | Shannon Leung Kim, 8910 Villa La Jolla Drive, Suite 110, La Jolla, CA 92037 Ph: (858) 203-4962 |
Pei-shan Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Campus Point Dr # Mc7774, La Jolla, CA 92037 Phone: 858-249-1702 | |
Dr. Angell C Shieh, MD, PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7300 Girard Ave, Suite 106, La Jolla, CA 92037 Phone: 858-459-4351 | |
Dr. Ryan Loreno Lym, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 Girard Ave Ste 106, La Jolla, CA 92037 Phone: 858-459-4351 Fax: 858-459-4399 | |
Dr. Nathaly Maria Coromoto Sweeney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr # Mc7774, La Jolla, CA 92037 Phone: 619-543-3759 Fax: 619-543-3812 | |
Dr. Gretchen Christine Gainor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 Girard Ave, La Jolla, CA 92037 Phone: 858-459-4351 Fax: 858-459-4399 | |
Dr. Kuang-chung Hu Chien, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9445 La Jolla Farms Rd, La Jolla, CA 92037 Phone: 858-622-0888 | |
Dr. Sandra P Daley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr, Mail Code 0927, La Jolla, CA 92093 Phone: 619-681-0764 Fax: 619-681-0666 |