Elisabeth K Shim, MD | |
1301 20th St, Suite 570, Santa Monica, CA 90404 | |
(310) 315-0171 | |
(310) 828-6647 |
Full Name | Elisabeth K Shim |
---|---|
Gender | Female |
Speciality | Micrographic Dermatologic Surgery (mds) |
Experience | 30 Years |
Location | 1301 20th St, Santa Monica, 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 |
---|---|---|---|
1518013689 | NPI | - | NPPES |
A65723 | Other | CA | LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A65723 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint John's Health Center | Santa monica, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Richard G Bennett Md | 5496785792 | 5 |
Entity Name | Richard G Bennett Md |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467508523 PECOS PAC ID: 5496785792 Enrollment ID: O20050816001130 |
Mailing Address | Practice Location Address |
---|---|
Elisabeth K Shim, MD 1301 20th St, Suite 570, Santa Monica, CA 90404 Ph: (310) 315-0171 | Elisabeth K Shim, MD 1301 20th St, Suite 570, Santa Monica, CA 90404 Ph: (310) 315-0171 |
Gregory J Colman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404 Phone: 310-829-4484 Fax: 310-829-4481 | |
Ava T Shamban, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2021 Santa Monica Blvd, Suite 600e, Santa Monica, CA 90404 Phone: 310-828-2282 Fax: 310-828-8504 | |
Dr. Hrak Ray Jalian, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2020 Santa Monica Blvd Ste 570, Santa Monica, CA 90404 Phone: 310-917-3376 | |
Sourabh Arora, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2222 Santa Monica Blvd Ste 105, Santa Monica, CA 90404 Phone: 213-214-8738 | |
Mr. Paul Lawrence Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404 Phone: 310-829-4484 Fax: 310-829-4481 | |
Dr. Stefani T Kappel, M.D, Dermatology Medicare: Medicare Enrolled Practice Location: 2020 Santa Monica Blvd, 510, Santa Monica, CA 90404 Phone: 310-917-3376 Fax: 310-582-6302 | |
Karyn L Grossman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd Ste 1250w, Santa Monica, CA 90404 Phone: 310-998-0040 |