| Bumin Kong, | |
|
558 Saint Charles Dr Ste 200, Thousand Oaks, CA 91360-3968 | |
| (805) 379-2322 | |
| Not Available |
| Full Name | Bumin Kong |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 558 Saint Charles Dr Ste 200, Thousand Oaks, California |
| 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 |
|---|---|---|---|
| 1497382220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A178290 (California) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A178290 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Los Robles Hospital & Medical Center | Thousand oaks, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Charles Spine Institute | 5496036550 | 5 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | St Charles Spine Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780377283 PECOS PAC ID: 5496036550 Enrollment ID: O20170103001487 |
| Mailing Address | Practice Location Address |
|---|---|
| Bumin Kong, 558 Saint Charles Dr Ste 200, Thousand Oaks, CA 91360-3968 Ph: (805) 379-2322 | Bumin Kong, 558 Saint Charles Dr Ste 200, Thousand Oaks, CA 91360-3968 Ph: (805) 379-2322 |
Dr. Katrina S. Babcock, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 325 Rolling Oaks Dr Ste 220, Thousand Oaks, CA 91361 Phone: 805-379-9911 Fax: 805-379-0557 | |
Sarina Karwande, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 325 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361 Phone: 805-232-4358 |