| Matthew Joshua King-lung Kor, MD | |
|
702 Mountain Ranch Rd, San Andreas, CA 95249 | |
| (092) 754-4564 | |
| (209) 942-3462 |
| Full Name | Matthew Joshua King-lung Kor |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 702 Mountain Ranch Rd, San Andreas, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508329947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A180770 (California) | Primary |
| Entity Name | Sutter Bay Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740413798 PECOS PAC ID: 3476506528 Enrollment ID: O20050517000547 |
| Entity Name | Mark Twain Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Joshua King-lung Kor, MD 768 Mountain Ranch Rd, C/o Medical Staff Office, San Andreas, CA 95249-9707 Ph: () - | Matthew Joshua King-lung Kor, MD 702 Mountain Ranch Rd, San Andreas, CA 95249 Ph: (092) 754-4564 |
Dr. Michael Dennis Kifune, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1333 Highway 49, San Andreas, CA 95249 Phone: 209-755-1400 Fax: 209-755-1430 | |
Dr. Shane Michael Patterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-0870 Fax: 209-754-0878 | |
Mr. Dean Matthew Kelaita, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 Mountain Ranch Rd., San Andreas, CA 95249 Phone: 209-754-0870 Fax: 209-754-0878 | |
Mrs. Sarah Margaret Grimes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-0870 Fax: 209-754-0878 |