| Peter P J Kim, DO | |
|
12501 Imperial Hwy, Suite 400, Norwalk, CA 90650-3179 | |
| (562) 807-6100 | |
| Not Available |
| Full Name | Peter P J Kim |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 12501 Imperial Hwy, Norwalk, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922173871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 20A9617 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter P J Kim, DO 12501 Imperial Hwy, Suite 400, Norwalk, CA 90650-3179 Ph: (562) 807-6100 | Peter P J Kim, DO 12501 Imperial Hwy, Suite 400, Norwalk, CA 90650-3179 Ph: (562) 807-6100 |
Dr. Michael William Barsom, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11401 Bloomfield Ave, Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-929-3131 | |
Joseph Parekattil James, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11401 Bloomfield Ave, Norwalk, CA 90650 Phone: 951-830-6639 | |
Swarnalatha Ramdev, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11401 Bloomfield Ave, Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-864-4560 | |
Dr. Paul T Ananias Ii, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11401 Bloomfield Ave, Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-864-4560 | |
Karina Lawrence, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11401 Bloomfield Ave, Norwalk, CA 90650 Phone: 562-863-7011 | |
Nady E. Hanna Gerges, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11401 South Bloomfield Ave, Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-864-4560 | |
Antonio Apostol Reantaso, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11401 S Bloomfield Ave, Suite 149 Bldg Yab, Norwalk, CA 90650 Phone: 562-521-1830 |