| Kahala Biosciences Inc | |
|
3 Whatney Ste 200 Irvine CA 92618-2826 | |
| (855) 524-2522 | |
| Not Available |
| Full Name | Kahala Biosciences Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3 Whatney Ste 200, Irvine, California |
| Authorized Official Name and Position | Stephen Young (CFO) |
| Authorized Official Contact | 4155155741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kahala Biosciences Inc 3 Whatney Ste 200 Irvine CA 92618-2826 Ph: () - | Kahala Biosciences Inc 3 Whatney Ste 200 Irvine CA 92618-2826 Ph: (855) 524-2522 |
| NPI Number | 1346856358 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 10/22/2020 |
| Medicare PECOS PAC ID | 8628489796 |
|---|---|
| Medicare Enrollment ID | O20201120000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346856358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chong U Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528034485 PECOS PAC ID: 9436166238 Enrollment ID: I20060320000730 |
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