| Dr Jessica Kim So, MD | |
|
7862 El Cajon Blvd, La Mesa, CA 91942-6712 | |
| (619) 644-6401 | |
| Not Available |
| Full Name | Dr Jessica Kim So |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 14 Years |
| Location | 7862 El Cajon Blvd, La Mesa, 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 |
|---|---|---|---|
| 1174813356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A122927 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Sharp Rees-stealy Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Kim So, MD 7862 El Cajon Blvd, La Mesa, CA 91942-6712 Ph: (619) 644-6401 | Dr Jessica Kim So, MD 7862 El Cajon Blvd, La Mesa, CA 91942-6712 Ph: (619) 644-6401 |
Dr. Sam Khalifian, MD Dermatology Medicare: Medicare Enrolled Practice Location: 8860 Center Dr Ste 300, La Mesa, CA 91942 Phone: 619-462-1670 Fax: 619-462-3209 | |
Brian M Kleker, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8080 Parkway Dr, La Mesa, CA 91942 Phone: 619-528-5000 | |
Dr. Shinko Lin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr Ste 300, La Mesa, CA 91942 Phone: 619-462-1670 Fax: 619-462-3209 | |
Dr. Stephan John Kempiak, M.D,PH.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8080 Parkway Dr, La Mesa, CA 91942 Phone: 800-290-5000 | |
Dr. Erik O. Gilbertson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10862 Calle Verde, La Mesa, CA 91941 Phone: 619-660-1820 | |
Dr. Tamara Katherine Schnurr, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8080 Parkway Dr, La Mesa, CA 91942 Phone: 800-290-5000 |