Michelle Kim, OD | |
9820 Brimhall Rd, Bakersfield, CA 93312-2787 | |
(213) 703-4321 | |
Not Available |
Full Name | Michelle Kim |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 9820 Brimhall Rd, Bakersfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255660825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 13853 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Michelle Kim, OD 9820 Brimhall Rd, Bakersfield, CA 93312-2787 Ph: (213) 703-4321 | Michelle Kim, OD 9820 Brimhall Rd, Bakersfield, CA 93312-2787 Ph: (213) 703-4321 |
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