| Dr Dong H Kim, MD | |
|
4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807-2003 | |
| (562) 912-2507 | |
| (484) 918-2507 |
| Full Name | Dr Dong H Kim |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 4241 Long Beach Blvd, Long Beach, 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 |
|---|---|---|---|
| 1457633919 | NPI | - | NPPES |
| 00A1124530 | Other | CA | BLUE SHIELD OF CA |
| 1457633919 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A112453 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakewood Regional Medical Center | Lakewood, CA | Hospital |
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Grant Medical Center | Columbus, OH | Hospital |
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 470 |
| Columbus Radiology Corp | 6507754983 | 288 |
| Golden State Imaging Associates Inc | 1254761315 | 242 |
| Columbus Radiology Corp | 6507754983 | 288 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
| Entity Name | Mercy Health Physicians Youngstown, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dong H Kim, MD 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807-2003 Ph: (562) 912-2507 | Dr Dong H Kim, MD 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807-2003 Ph: (562) 912-2507 |
Dr. Natalie Maya Sardjono, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2810 Long Beach Blvd Fl 2, Long Beach, CA 90806 Phone: 562-933-7880 | |
Dr. Thomas Charles Gates, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1043 Elm Ave, Long Beach, CA 90813 Phone: 951-691-5123 Fax: 951-691-5156 | |
Dr. Natalia Zarzhevsky, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-933-1550 Fax: 562-933-1502 | |
Dr. Reza Lotfi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Radiology 05/114, Long Beach, CA 90822 Phone: 562-826-8000 Fax: 561-826-5425 | |
Timothy V Bell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807 Phone: 562-912-2507 Fax: 484-918-2507 | |
Kourosh Nourisamie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4241 Long Beach Blvd, Long Beach, CA 90807 Phone: 562-912-2507 Fax: 484-918-2507 | |
Dr. Charles Franklin Brown, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1045 Atlantic Ave, Suite 105, Long Beach, CA 90813 Phone: 562-437-6982 Fax: 562-624-0741 |