| Dr Ilkyoon Kim, MD | |
|
15666 18th Avenue, Clearlake, CA 95422 | |
| (707) 994-4210 | |
| (707) 994-0839 |
| Full Name | Dr Ilkyoon Kim |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 15666 18th Avenue, Clearlake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154434728 | NPI | - | NPPES |
| A34081 | Other | CA | LICENSE NUMBER |
| 00A340810 | Medicaid | CA | |
| 68-0068216 | Other | BLUE CROSS | |
| 00A340812 | Other | CA | BLUE SHIELD |
| 00A340811 | Other | CA | BLUE SHIELD |
| 00A340811 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A34081 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ilkyoon Kim, MD Po Box 5326, Clearlake, CA 95422-5326 Ph: (707) 994-4210 | Dr Ilkyoon Kim, MD 15666 18th Avenue, Clearlake, CA 95422 Ph: (707) 994-4210 |
Dr. Milagros Tolentino, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 15666 18th Ave, Clearlake, CA 95422 Phone: 707-994-9469 Fax: 707-994-8758 | |
Dr. Raymond Dean Jennings, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401 | |
Thomas C Kreck, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 | |
Eric E. Kim, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 4456 Manzanita Ave, Suite# C, Clearlake, CA 95422 Phone: 707-994-9191 Fax: 707-994-9090 | |
Marc Randall Shapiro, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3400 Emerson St, Suite A, Clearlake, CA 95422 Phone: 707-994-7241 Fax: 707-994-0870 | |
Whie Oh, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 15250 Lakeshore Dr Ste C, Clearlake, CA 95422 Phone: 707-995-3764 Fax: 707-995-0904 |