| Peter Lee Kim, MD | |
|
660 Baker St Ste A101, Costa Mesa, CA 92626-4407 | |
| (714) 668-2500 | |
| (714) 668-2515 |
| Full Name | Peter Lee Kim |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 660 Baker St Ste A101, Costa Mesa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609815224 | NPI | - | NPPES |
| 1609815224 | Medicaid | CA | |
| P00425054 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | G77031 (California) | Secondary |
| 207Q00000X | Family Medicine | G77031 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Family Medicine Inc | 4587678065 | 29 |
| Entity Name | Coastal Family Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275584120 PECOS PAC ID: 4587678065 Enrollment ID: O20090124000106 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Lee Kim, MD Po Box 2218, Suisun City, CA 94585-5218 Ph: (657) 241-3600 | Peter Lee Kim, MD 660 Baker St Ste A101, Costa Mesa, CA 92626-4407 Ph: (714) 668-2500 |
Dr. Ronald Yusi Bangsil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Harbor Blvd, Costa Mesa, CA 92626 Phone: 714-327-6806 | |
Dr. Hung Van Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 Harbor Blvd, Costa Mesa, CA 92626 Phone: 714-957-5000 | |
Connie Pham, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1190 Baker St Ste 100, Costa Mesa, CA 92626 Phone: 949-791-3250 Fax: 949-791-3261 | |
Shayan Senaati, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1170 Baker St Ste H1, Costa Mesa, CA 92626 Phone: 949-791-3250 | |
Dr. Luan Canh Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 Harbor Blvd, Costa Mesa, CA 92626 Phone: 714-957-5000 | |
Mayo J Steigler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1665 Scenic Ave, Ste 100, Costa Mesa, CA 92626 Phone: 714-436-4800 | |
Orlando A Collado Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3090 Bristol St Ste 200, Costa Mesa, CA 92626 Phone: 888-789-9585 |