Kevin Kim, DO | |
441 Old Newport Blvd, Newport Beach, CA 92663-4210 | |
(949) 491-9991 | |
Not Available |
Full Name | Kevin Kim |
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Gender | Male |
Speciality | Orthopaedic Surgery - Hand Surgery |
Location | 441 Old Newport Blvd, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669826798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | 67032 (Connecticut) | Secondary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | 20A19643 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Kevin Kim, DO 441 Old Newport Blvd, Newport Beach, CA 92663-4210 Ph: (949) 491-9991 | Kevin Kim, DO 441 Old Newport Blvd, Newport Beach, CA 92663-4210 Ph: (949) 491-9991 |
Ryan S Labovitch, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1401 Avocado Ave, Suite 307, Newport Beach, CA 92660 Phone: 949-720-1944 Fax: 949-720-9710 | |
Theodore K. Gregorius, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 701, Newport Beach, CA 92660 Phone: 949-759-3600 Fax: 949-759-5017 | |
Vu H Le, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3300 W Coast Hwy, Newport Beach, CA 92663 Phone: 949-491-9991 | |
John F Cook Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1441 Avocado Ave #802, Newport Beach, CA 92660 Phone: 949-644-9000 Fax: 949-644-4378 | |
Dr. Taylor Dunphy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4900 | |
Alan Harris Beyer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4951 | |
Corey Michael Lieber, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4900 |