| Kristen Lum, MD | |
|
747 52nd St, Oakland, CA 94609-1809 | |
| (510) 428-3000 | |
| Not Available |
| Full Name | Kristen Lum |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 747 52nd St, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013343979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A127332 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Lum, MD 747 52nd St, Oakland, CA 94609-1809 Ph: Not Available | Kristen Lum, MD 747 52nd St, Oakland, CA 94609-1809 Ph: (510) 428-3000 |
Mrs. Natalie Plotkin, MS, ACPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3484 |
Rebecca Romanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3331 Fax: 510-428-3331 |
Dr. Theodore John Chaconas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3237 Fax: 510-601-3979 |
Dr. Robert E Mines Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5715 Market St, Oakland, CA 94608 Phone: 510-652-5161 Fax: 510-652-4225 |
Spencer L Magargal, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 |
Dr. Arathi Lakhole, M.D, M.P.H Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3058 |
Brianna Kristen Ennis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6955 Foothill Blvd Ste 200, Oakland, CA 94605 Phone: 510-437-8500 |