| Kenneth Kwanyoung Kim, MD | |
|
10830 Garland Dr, Culver City, CA 90232-3755 | |
| (888) 988-2800 | |
| Not Available |
| Full Name | Kenneth Kwanyoung Kim |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 10830 Garland Dr, Culver City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952473274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | A81964 (California) | Primary |
| Entity Name | Kenneth K. Kim, M.d., A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447495627 PECOS PAC ID: 5890858948 Enrollment ID: O20090115000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Kwanyoung Kim, MD 10830 Garland Dr, Culver City, CA 90232-3755 Ph: (310) 882-8482 | Kenneth Kwanyoung Kim, MD 10830 Garland Dr, Culver City, CA 90232-3755 Ph: (888) 988-2800 |
Dr. Alvin Sol May Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5221 Purdue Ave, Culver City, CA 90230 Phone: 562-261-5958 | |
Dr. Glenn A Pasternack, MD Surgery Medicare: Medicare Enrolled Practice Location: 3831 Hughes Ave, Suite 602, Culver City, CA 90232 Phone: 310-558-8063 Fax: 310-204-6556 | |
Don J Schiller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9808 Venice Blvd, Ste 603, Culver City, CA 90232 Phone: 310-204-4565 Fax: 310-204-4566 | |
Patrick Soon-shiong, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9920 Jefferson Blvd, Culver City, CA 90232 Phone: 562-397-3639 | |
Nisha Gupta, Surgery Medicare: Not Enrolled in Medicare Practice Location: 10601 Washington Blvd, Culver City, CA 90232 Phone: 352-206-6800 |