Chang Yong Kim, DPM | |
2922 Telestar Ct, Falls Church, VA 22042-1206 | |
(703) 584-2040 | |
(703) 560-7218 |
Full Name | Chang Yong Kim |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 7 Years |
Location | 2922 Telestar Ct, Falls Church, Virginia |
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 |
---|---|---|---|
1902330400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 0103301376 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centers For Advanced Orthopaedics Llc | 8123260981 | 506 |
Provider Name | Centers For Advanced Orthopaedics Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487093167 PECOS PAC ID: 8123260981 Enrollment ID: O20131024001780 |
Mailing Address | Practice Location Address |
---|---|
Chang Yong Kim, DPM 2922 Telestar Ct, Falls Church, VA 22042-1206 Ph: (703) 584-2040 | Chang Yong Kim, DPM 2922 Telestar Ct, Falls Church, VA 22042-1206 Ph: (703) 584-2040 |
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