| Dr Charlene Vimala Kakimoto, MD | |
|
230 Prospect Pl, Ste. 260, Coronado, CA 92118-1978 | |
| (619) 437-1146 | |
| (619) 437-1146 |
| Full Name | Dr Charlene Vimala Kakimoto |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 24 Years |
| Location | 230 Prospect Pl, Coronado, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053382044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A82481 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sharp Coronado Hospital And Hlthcr Ctr | Coronado, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charlene V Kakimoto Md Inc | 4880940956 | 3 |
| Entity Name | Charlene V Kakimoto Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083104012 PECOS PAC ID: 4880940956 Enrollment ID: O20180702003354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charlene Vimala Kakimoto, MD 230 Prospect Pl, Ste. 260, Coronado, CA 92118-1978 Ph: (619) 437-1146 | Dr Charlene Vimala Kakimoto, MD 230 Prospect Pl, Ste. 260, Coronado, CA 92118-1978 Ph: (619) 437-1146 |
Dr. Nancy B. Murray, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl, Ste 260, Coronado, CA 92118 Phone: 619-437-1146 Fax: 619-437-1912 | |
Dr. D. A. Lopez, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl, Ste 260, Coronado, CA 92118 Phone: 619-437-1146 Fax: 619-437-1912 | |
Dr. Ann M. Siefert, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1317 Ynez Pl Ste A, Coronado, CA 92118 Phone: 858-554-8645 |