| Eunice Kim, DO | |
|
25941 Campo Cv, Loma Linda, CA 92354-6531 | |
| (925) 519-1977 | |
| Not Available |
| Full Name | Eunice Kim |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Hospice And Palliative Medicine |
| Location | 25941 Campo Cv, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306197520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 13325 (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 |
|---|---|
| Eunice Kim, DO 25941 Campo Cv, Loma Linda, CA 92354-6531 Ph: () - | Eunice Kim, DO 25941 Campo Cv, Loma Linda, CA 92354-6531 Ph: (925) 519-1977 |
Ecler Ercole Jaqua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Lauren Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Barbara Orr, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25455 Barton Rd, Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Victoria V Teppone, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Dr. Prashanth Gowda, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Va Loma Linda Health Care System, 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Roger D. Woodruff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd Ste 206a, Loma Linda, CA 92354 Phone: 909-558-6505 Fax: 909-558-6701 | |
Michelle Opsahl, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd, Ste. 204a, Loma Linda, CA 92354 Phone: 909-558-6600 |