| Kiavash Koko, MD | |
|
1560 3rd St Apt 307, San Francisco, CA 94158-2305 | |
| (714) 336-0837 | |
| Not Available |
| Full Name | Kiavash Koko |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1560 3rd St Apt 307, San Francisco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457741571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A159801 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| 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 |
|---|---|
| Kiavash Koko, MD 1560 3rd St Apt 307, San Francisco, CA 94158-2305 Ph: (714) 336-0837 | Kiavash Koko, MD 1560 3rd St Apt 307, San Francisco, CA 94158-2305 Ph: (714) 336-0837 |
Dr. Marissa A Boeck, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-2161 |
Dr. Sang-mo Kang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Parnassus Ave, San Francisco, CA 94143 Phone: 415-476-1551 Fax: 415-353-8917 |
Julia Chandler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1825 4th St, 3rd Floor Box 1710, San Francisco, CA 94143 Phone: 415-353-7070 |
Dr. Stas Salerno Amato, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1001 Portrero Ave, Bldg. 5, 3m, San Francisco, CA 94110 Phone: 628-206-8265 Fax: 628-206-4259 |
Samantha Hoffman, Surgery Medicare: Not Enrolled in Medicare Practice Location: 513 Parnassus Ave # S321, San Francisco, CA 94143 Phone: 415-476-1239 |
Dr. Ronald Brian Tesoriero, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Potrero Ave, San Francisco, CA 94110 Phone: 628-206-8000 |
Timothy A Chuter, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-4366 Fax: 415-353-4370 |