Ted T Kim, MD | |
27400 Hesperian Blvd, Hayward, CA 94545-4235 | |
(510) 784-4000 | |
Not Available |
Full Name | Ted T Kim |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 30 Years |
Location | 27400 Hesperian Blvd, Hayward, 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 |
---|---|---|---|
1295814994 | NPI | - | NPPES |
00A708530 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | A70853 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Antioch | Antioch, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Ted T Kim, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Ted T Kim, MD 27400 Hesperian Blvd, Hayward, CA 94545-4235 Ph: (510) 784-4000 |
Wayne Barber, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 27400 Hesperian Blvd, Hayward, CA 94545 Phone: 510-784-4000 | |
Keith A. Matsuoka, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 27400 Hesperian Blvd, Hayward, CA 94545 Phone: 510-784-4000 | |
Matthew J. Lando, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 27400 Hesperian Blvd, Hayward, CA 94545 Phone: 510-784-4000 |