Jung Mi Kim, CNM | |
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
(626) 851-1011 | |
Not Available |
Full Name | Jung Mi Kim |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972243038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 236261 (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 |
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Jung Mi Kim, CNM 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-5156 | Jung Mi Kim, CNM 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 |
Diane P Robert, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Natasha Mironov, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Christine E Mckeon, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Renee L Rubio, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Ms. Helena Miriam Kostantas, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 14311 Ramona Blvd, 14311 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-338-0230 Fax: 626-962-8854 | |
Laura Romero, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Linda C Calderon, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |