| Kevin Young Kim, | |
|
757 Westwood Plz Ste 1638, Los Angeles, CA 90095 | |
| (310) 267-8758 | |
| Not Available |
| Full Name | Kevin Young Kim |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 7 Years |
| Location | 757 Westwood Plz Ste 1638, Los Angeles, 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 |
|---|---|---|---|
| 1134626047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | A163905 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A163905 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Hoag Orthopedic Institute | Irvine, CA | Hospital |
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Newport Harbor Radiology Associates Medical Group Inc | 1850285735 | 51 |
| Newport Center Radiology Associates Medical Group Inc | 7810800166 | 44 |
| Entity Name | Newport Center Radiology Associates Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951714 PECOS PAC ID: 7810800166 Enrollment ID: O20031111000938 |
| Entity Name | Newport Harbor Radiology Associates Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053355792 PECOS PAC ID: 1850285735 Enrollment ID: O20040211000758 |
| Entity Name | Martin Luther King Jr Community Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Young Kim, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Kevin Young Kim, 757 Westwood Plz Ste 1638, Los Angeles, CA 90095 Ph: (310) 267-8758 |
Dr. Jiewen Li, DO Radiology Medicare: Medicare Enrolled Practice Location: 125 1/2 S Avenue 60, Los Angeles, CA 90042 Phone: 216-370-8300 | |
Alexander Boyarko, Radiology Medicare: Not Enrolled in Medicare Practice Location: 11980 Walnut Ln Apt 18, Los Angeles, CA 90025 Phone: 303-437-5230 | |
Doron Ben Avi, MD Radiology Medicare: Medicare Enrolled Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459 | |
Hsin Y Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-4721 | |
Colin J. Wells, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-301-6800 | |
Eric Allan White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-8541 Fax: 323-442-8755 | |
Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321 |