Sung J Kim, MD | |
6600 Bruceville Rd, Sacramento, CA 95823-4671 | |
(916) 688-2000 | |
Not Available |
Full Name | Sung J Kim |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 6600 Bruceville Rd, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235218967 | NPI | - | NPPES |
00A606190 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A60619 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Sung J Kim, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Sung J Kim, MD 6600 Bruceville Rd, Sacramento, CA 95823-4671 Ph: (916) 688-2000 |
Vinod Trivedi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 Alhambra Blvd Ste 200, Sacramento, CA 95816 Phone: 916-325-1040 Fax: 916-669-4100 | |
Patrick Richards, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 Q St, Sacramento, CA 95816 Phone: 916-733-3346 Fax: 916-733-3320 | |
Betty Carolyn Murray, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 Q St Fl 3, Sacramento, CA 95816 Phone: 916-733-3400 Fax: 916-733-5384 | |
Jiten Desai, Internal Medicine Medicare: Medicare Enrolled Practice Location: 4150 V St Ste 3500, Sacramento, CA 95817 Phone: 916-734-3759 | |
Stephanie T Le, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 C St Ste 1400, Sacramento, CA 95816 Phone: 916-734-6111 Fax: 916-731-7183 | |
Belal Sultanzai, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2315 Stockton Blvd Ste 2p101, Sacramento, CA 95817 Phone: 916-734-7506 | |
Kathryn D Newell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4860 Y St, Suite 0101, Sacramento, CA 95817 Phone: 916-734-4843 Fax: 916-734-2732 |