| So Won Kim, MD | |
|
4101 Torrance Blvd, Torrance, CA 90503-4607 | |
| (310) 374-8191 | |
| (310) 303-6834 |
| Full Name | So Won Kim |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 4 Years |
| Location | 4101 Torrance Blvd, Torrance, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316696453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A191137 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | Hospital |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | Hospital |
| Lac/olive View-ucla Medical Center | Sylmar, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Institute | 5991609737 | 303 |
| Permanente Medical Group Inc | 8921910225 | 10928 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| 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 | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
| 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 |
|---|---|
| So Won Kim, MD 14445 Olive View Dr, Sylmar, CA 91342-1437 Ph: (747) 210-3205 | So Won Kim, MD 4101 Torrance Blvd, Torrance, CA 90503-4607 Ph: (310) 374-8191 |
Dr. Sarah E Tomassetti, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St # N18, Torrance, CA 90502 Phone: 310-745-2882 |
Deborah Chon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3445 Pacific Coast Hwy Ste 100, Torrance, CA 90505 Phone: 310-542-6333 |
Erika Joyce Kalash, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3565 Del Amo Blvd, Torrance, CA 90503 Phone: 310-214-0811 |
Dr. Christopher Bryan Mayorga, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 W Carson St Bldg N28, Torrance, CA 90502 Phone: 424-306-4446 |
Hosayn Khaleeli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2245 Sepulveda Blvd, Torrance, CA 90501 Phone: 310-320-3204 Fax: 310-320-0919 |
Mr. Anthony C Dike, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 20280 S Vermont Ave Ste 215, Torrance, CA 90502 Phone: 323-434-4626 Fax: 310-693-8082 |
Paul J Brown, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Skypark Dr, Torrance, CA 90505 Phone: 310-517-9006 |