Mia Deborah Lee Kim, NP | |
1 Medical Plaza Drive, Irvine, CA 92697-5336 | |
(949) 824-8600 | |
Not Available |
Full Name | Mia Deborah Lee Kim |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1 Medical Plaza Drive, Irvine, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689917494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP22238 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of California Irvine Medical Center | Orange, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The University Of Claifornia Univ Neursciences | 2769476357 | 56 |
Entity Name | Regents Of The University Of Claifornia Univ Neursciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205884210 PECOS PAC ID: 2769476357 Enrollment ID: O20040414001576 |
Mailing Address | Practice Location Address |
---|---|
Mia Deborah Lee Kim, NP 200 S Manchester Ave Ste 300, Orange, CA 92868-3219 Ph: (714) 456-2986 | Mia Deborah Lee Kim, NP 1 Medical Plaza Drive, Irvine, CA 92697-5336 Ph: (949) 824-8600 |
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Kelly Eguchi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17782 Cowan Ste A, Irvine, CA 92614 Phone: 949-722-7118 | |
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