| Ronald C Kim, MD | |
|
5901 East Seventh Street, Dvamc (05/113np), Long Beach, CA 90822 | |
| (562) 826-5513 | |
| (562) 826-5623 |
| Full Name | Ronald C Kim |
|---|---|
| Gender | Male |
| Speciality | Pathology - Neuropathology |
| Location | 5901 East Seventh Street, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003915661 | NPI | - | NPPES |
| WG13550A | Other | CA | MEDICARE PTAN |
| 00G135500 | Other | CA | BLUE SHIELD |
| 00G135500 | Medicaid | CA | |
| 220027744 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZN0500X | Pathology - Neuropathology | G13550 (California) | Primary |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311811 PECOS PAC ID: 1951201185 Enrollment ID: O20040112000598 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174662555 PECOS PAC ID: 8325131378 Enrollment ID: O20100513000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald C Kim, MD 5901 East Seventh Street, Dvamc (05/113np), Long Beach, CA 90822 Ph: (562) 826-5513 | Ronald C Kim, MD 5901 East Seventh Street, Dvamc (05/113np), Long Beach, CA 90822 Ph: (562) 826-5513 |
Be Thi Huynh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Avenue, Long Beach, CA 90806 Phone: 562-933-0717 | |
Dr. Gloria Mary Bertucci, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2801 Atlantic Ave, Department Of Pathology, Long Beach, CA 90806 Phone: 562-933-0715 Fax: 562-933-0791 | |
Chynel Henning, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3816 Woodruff Ave, Ste 104, Long Beach, CA 90808 Phone: 562-377-0389 | |
Dr. Joyce Ruth King, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2801 Atlantic Ave, Department Of Pathology, Long Beach, CA 90806 Phone: 562-933-0722 Fax: 562-933-0791 | |
Dr. Linda Kouchi Ando, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1050 Linden Ave, Long Beach, CA 90813 Phone: 562-491-9755 Fax: 562-491-7975 | |
Dr. Jared Thomas Shows, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-933-0845 |