| Dr Michael Jevin Kim, MD | |
|
101 The City Dr S, Route 140, Orange, CA 92868-3201 | |
| (714) 456-2216 | |
| (714) 456-7864 |
| Full Name | Dr Michael Jevin Kim |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 101 The City Dr S, Orange, 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 |
|---|---|---|---|
| 1699096784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD70003563 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A101880 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| St Joseph Medical Center | Tacoma, WA | Hospital |
| St Anthony Hospital | Gig harbor, WA | Hospital |
| St Clare Hospital | Lakewood, WA | Hospital |
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | 3375603970 | 117 |
| Tra-minw P S | 2163316167 | 152 |
| Union Avenue Open Mri Llc | 5597652917 | 44 |
| Entity Name | Tra-minw P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
| Entity Name | Union Avenue Open Mri LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189 |
| Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
| Entity Name | Tra Medical Imaging Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447041751 PECOS PAC ID: 5092207019 Enrollment ID: O20251219001286 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Jevin Kim, MD 101 The City Dr S, Route 140, Orange, CA 92868-3201 Ph: (714) 456-2216 | Dr Michael Jevin Kim, MD 101 The City Dr S, Route 140, Orange, CA 92868-3201 Ph: (714) 456-2216 |
Dr. Ankit Bhupendra Patel, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5113 |
Kimberly M. Ray, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 431 S Batavia St, Suite 103, Orange, CA 92868 Phone: 714-538-6731 Fax: 714-771-8369 |
Dr. David Robert Floriolli, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 |
Dr. Lawrence C. Wang, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7237 |
Michelle Socorro Bondero, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 City Blvd W Ste 1400, Orange, CA 92868 Phone: 714-456-8224 Fax: 714-456-8360 |
Dr. Akash C. Joshi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 316-789-5360 |
Dr. Gerald K. Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7237 |