Jennifer Kim, | |
1000 W Carson St, Torrance, CA 90502-2059 | |
(424) 306-4386 | |
Not Available |
Full Name | Jennifer Kim |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1000 W Carson St, Torrance, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639718323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP95020590 (California) | Primary |
163W00000X | Registered Nurse | 95155332 (California) | Secondary |
Entity Name | Usc Care Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Entity Name | Mellow Medical Inc A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Kim, 1000 W Carson St, Torrance, CA 90502-2059 Ph: (424) 306-4386 | Jennifer Kim, 1000 W Carson St, Torrance, CA 90502-2059 Ph: (424) 306-4386 |
Dina M Meza, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Head And Neck Box 6, Torrance, CA 90502 Phone: 310-222-2741 Fax: 310-222-5518 | |
Kriska Aimee Tiglao, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1328 Portola Ave, Torrance, CA 90501 Phone: 310-872-6563 | |
Eun Hye Yeon, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1727 Crenshaw Blvd, Torrance, CA 90501 Phone: 310-373-7855 | |
Maureen Saligumba, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-1912 | |
Anjana Johanis, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 424-306-8323 | |
Shannan Ann Stephenson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-4160 Fax: 310-320-2271 | |
Tanya Jennette Smit, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4201 Torrance Blvd Ste 720, Torrance, CA 90503 Phone: 310-571-5957 |