| Kim M Hargis, MD | |
|
6041 Cadillac Ave, Los Angeles, CA 90034-1702 | |
| (323) 857-2000 | |
| Not Available |
| Full Name | Kim M Hargis |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 6041 Cadillac Ave, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851443071 | NPI | - | NPPES |
| 00A844350 | Medicaid | CA |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim M Hargis, MD 393 E Walnut St, Phr Group & Provider Enrollment Unit, 3rd Flr, Pasadena, CA 91188-0001 Ph: (626) 405-7966 | Kim M Hargis, MD 6041 Cadillac Ave, Los Angeles, CA 90034-1702 Ph: (323) 857-2000 |
Dr. Peyman Benharash, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10833 Leconte Ave Room 62-215, Los Angeles, CA 90095 Phone: 310-206-6717 Fax: 310-206-5901 | |
Mr. Willis H. Wagner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Suite 615e, Los Angeles, CA 90048 Phone: 310-652-8132 Fax: 310-659-3815 | |
Dr. Christian Jesus Ochoa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033 Phone: 323-442-5849 Fax: 323-442-5956 | |
Dr. Jane Kim Yang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095 Phone: 310-206-6294 Fax: 310-794-9603 | |
Laura Bloom, MD, MS, MBA Surgery Medicare: Medicare Enrolled Practice Location: 2051 Marengo Street, La General Medical Center, Inpatient Tower Room C5l100, Los Angeles, CA 90033 Phone: 510-589-3740 | |
Dr. Kaushal Ramesh Patel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 San Pablo St, Suite 514, Los Angeles, CA 90033 Phone: 323-442-5988 Fax: 323-442-5735 | |
Rosemary D Dearnley, RN Surgery Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-9554 |