Sangjeung Kim, | |
5120 Manzanita Ave Ste 110, Carmichael, CA 95608-0590 | |
(916) 926-0496 | |
(916) 248-7477 |
Full Name | Sangjeung Kim |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5120 Manzanita Ave Ste 110, Carmichael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255924254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 299931 (California) | Primary |
Provider Name | Doskalchuk Physical Therapy Corporation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437715414 PECOS PAC ID: 8022347780 Enrollment ID: O20190906000461 |
Mailing Address | Practice Location Address |
---|---|
Sangjeung Kim, 2318 Church Ave Apt 2, Sacramento, CA 95821-1735 Ph: (760) 916-6941 | Sangjeung Kim, 5120 Manzanita Ave Ste 110, Carmichael, CA 95608-0590 Ph: (916) 926-0496 |
Michael Uriarte, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6601 Madison Ave, Ste 200, Carmichael, CA 95608 Phone: 916-965-8900 | |
Jean Larock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3900 Garfield Ave, Carmichael, CA 95608 Phone: 916-481-6455 Fax: 916-481-6489 | |
Oksana Derkach, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5810 Jameson Ct Ste 1, Carmichael, CA 95608 Phone: 916-979-0621 Fax: 916-979-1110 | |
Jolie Andersen Blood, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Carmichael Way, Carmichael, CA 95608 Phone: 916-482-1465 | |
Isaac Sung, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3209 Osborne Ct, Carmichael, CA 95608 Phone: 916-216-0347 | |
Dr. Sonnen Rebecca Olson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6501 Coyle Ave # 112, Carmichael, CA 95608 Phone: 916-537-5057 | |
Mr. Richard Fike, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4737 El Camino Ave, Carmichael, CA 95608 Phone: 916-487-3473 Fax: 916-487-3483 |