Tae Eung J Kim, MD | |
101 The City Dr S, Orange, CA 92868-3201 | |
(800) 465-3203 | |
Not Available |
Full Name | Tae Eung J Kim |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 24 Years |
Location | 101 The City Dr S, Orange, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730108689 | NPI | - | NPPES |
00A773850 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A77385 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Corona Regional Medical Center | Corona, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Corona Regional Emergency Medical Associates Inc | 9133481484 | 13 |
Entity Name | St Jude Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720190804 PECOS PAC ID: 8224923479 Enrollment ID: O20040217001064 |
Entity Name | Corona Regional Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134629298 PECOS PAC ID: 9133481484 Enrollment ID: O20180326001396 |
Entity Name | Telemedicine365, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912525817 PECOS PAC ID: 0648683920 Enrollment ID: O20210105001789 |
Entity Name | Tae Eung Jack Kim Md A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265141626 PECOS PAC ID: 9638540198 Enrollment ID: O20230119001681 |
Mailing Address | Practice Location Address |
---|---|
Tae Eung J Kim, MD 407 W Imperial Hwy Ste H, Brea, CA 92821-4803 Ph: (844) 996-3763 | Tae Eung J Kim, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (800) 465-3203 |
Joseph Villarreal, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Building 1a, Room 1009, Orange, CA 92868 Phone: 714-456-5239 | |
Scott Rudkin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986 | |
Joelle Reynard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Building 1a, Room 1009, Orange, CA 92868 Phone: 714-456-5239 | |
Dr. Inna Shniter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 W Stewart Dr, Orange, CA 92868 Phone: 714-771-8113 | |
John C Fox, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986 | |
Miss Shannon Louise Toohey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Drive South, Bldg 200 , Suite 710, Rt 128-01, Orange, CA 92868 Phone: 715-456-5239 | |
Wirachin Hoonpongsimanont, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5705 |