Mr Ian Hyeon Kim, CRNA | |
1000 W Carson St, Torrance, CA 90502-2004 | |
(310) 222-2345 | |
Not Available |
Full Name | Mr Ian Hyeon Kim |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 1000 W Carson St, Torrance, 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 |
---|---|---|---|
1164878955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95000427 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
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 |
---|---|
Mr Ian Hyeon Kim, CRNA 23455 Candlewood Way, West Hills, CA 91307-1414 Ph: (213) 400-6057 | Mr Ian Hyeon Kim, CRNA 1000 W Carson St, Torrance, CA 90502-2004 Ph: (310) 222-2345 |
Ms. Lori Anne D'amore, M.S. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 W Carson St # 10, Torrance, CA 90502 Phone: 310-222-3472 Fax: 310-782-1467 | |
Sharif Elakabawi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3472 | |
Carissa Villarreal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4140 W 190th St, Torrance, CA 90504 Phone: 310-967-1889 | |
Lisa Taft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W Carson St, Dept Of Anesthesiology, Torrance, CA 90502 Phone: 310-222-3472 |