| Heartscan | |
|
2161 Ygnacio Valley Road 100 Walnut Creek CA 94598-3348 | |
| (925) 939-3003 | |
| Not Available |
| Full Name | Heartscan |
|---|---|
| Speciality | Clinic/Center |
| Location | 2161 Ygnacio Valley Road, Walnut Creek, California |
| Authorized Official Name and Position | Hyo J Kim (PRESIDENT) |
| Authorized Official Contact | 4159287700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartscan 12 Stonegate Ct Alamo CA 94507-1745 Ph: (415) 928-7700 | Heartscan 2161 Ygnacio Valley Road 100 Walnut Creek CA 94598-3348 Ph: (925) 939-3003 |
| NPI Number | 1689841207 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Medicare PECOS PAC ID | 5698899078 |
|---|---|
| Medicare Enrollment ID | O20100908000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689841207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G40291 (California) | Primary |
| Provider Name | Hyo J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588738314 PECOS PAC ID: 6608939707 Enrollment ID: I20090115000662 |
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