Michelle Kim, | |
1660 Eureka Rd, Roseville, CA 95661-3027 | |
(916) 784-4000 | |
Not Available |
Full Name | Michelle Kim |
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Gender | Female |
Speciality | Registered Nurse |
Location | 1660 Eureka Rd, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871274142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95212623 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Michelle Kim, 514 N Catalina Ave, Pasadena, CA 91106-1000 Ph: () - | Michelle Kim, 1660 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-4000 |
Blanca E Avila, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 106 Church St Ste 1, Roseville, CA 95678 Phone: 714-472-7942 | |
Mrs. Catherine M. Nigro, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 729 Sunrise Ave, Suite 900, Roseville, CA 95661 Phone: 916-781-3387 Fax: 916-781-2338 | |
Ms. Renee Traversi, BSN CPON Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Bldg C - Pedi Specialties, Roseville, CA 95661 Phone: 916-474-2335 | |
Farina Tayo, FNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3001 Douglas Blvd Ste 325, Roseville, CA 95661 Phone: 916-241-9844 Fax: 916-241-9845 | |
Wendell Ranit Escartin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7177 Greenford Way, Roseville, CA 95747 Phone: 916-300-2641 | |
Ashanti Bozeman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 300 Alwoodley Ct, Roseville, CA 95678 Phone: 214-258-3995 | |
Mrs. Joyce J Lindner, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 Cirby Hills Dr, Roseville, CA 95678 Phone: 916-787-8800 |