| Marilyn H Kimura, MD | |
|
303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | |
| (909) 388-0810 | |
| (909) 890-0281 |
| Full Name | Marilyn H Kimura |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 303 E Vanderbilt Way, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396876264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M11081 (Idaho) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G75440 (California) | Primary |
| Entity Name | County of San Bernardino |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn H Kimura, MD 217 Cedar St # 237, Sandpoint, ID 83864-1410 Ph: (208) 904-2702 | Marilyn H Kimura, MD 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 Ph: (909) 388-0810 |
Antoinette Azar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 |
Dr. Juan Lua Gonzalez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 325 W Hospitality Ln, Suite 312, San Bernardino, CA 92408 Phone: 866-205-3595 |
Dr. Dennis Payne, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 |
Gamil Fteeh, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 E Caroline St Ste J, San Bernardino, CA 92408 Phone: 909-835-1810 Fax: 909-835-1780 |
Than Myint, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-252-5149 |
Dr. Lita S. Hedglin, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-252-5149 Fax: 949-499-8695 |
Ricardo Whyte, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 |