| Dr Sharon Kim, MD | |
|
455 S Main St, Orange, CA 92868-3835 | |
| (714) 532-7601 | |
| Not Available |
| Full Name | Dr Sharon Kim |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 455 S Main St, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013192426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A100045 (California) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sharon Kim, MD 455 S Main St, Orange, CA 92868-3835 Ph: (714) 532-7601 | Dr Sharon Kim, MD 455 S Main St, Orange, CA 92868-3835 Ph: (714) 532-7601 |
Demi Tran, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, City Tower, Suite 400, Orange, CA 92868 Phone: 171-456-6693 | |
Julian Thomas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 714-509-7601 | |
Dr. Lawrence Richard Faziola, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S, Route 88, Orange, CA 92868 Phone: 714-506-0693 | |
Esther Lee Yang, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1120 W La Veta Ave Ste 660&470, Orange, CA 92868 Phone: 714-509-8210 | |
Alexander Maslov, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Dr. Sailaja Golla, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 888-770-2462 Fax: 855-246-2329 |