| Sun Ik Kim, MD | |
|
489 E 21st St, San Bernardino, CA 92404-4816 | |
| (909) 882-2973 | |
| (909) 882-2681 |
| Full Name | Sun Ik Kim |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 489 E 21st St, San Bernardino, 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 |
|---|---|---|---|
| 1093738932 | NPI | - | NPPES |
| 0A693801 | Medicaid | CA | |
| 00A693801 | Other | CA | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A69380 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Orange, CA | Hospital |
| West Anaheim Medical Center | Anaheim, CA | Hospital |
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| La Palma Intercommunity Hospital | La palma, CA | Hospital |
| Ahmc Anaheim Regional Medical Center | Anaheim, CA | Hospital |
| Entity Name | Sun Kim Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730670407 PECOS PAC ID: 4082966247 Enrollment ID: O20181016003605 |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Ik Kim, MD 489 E 21st St, San Bernardino, CA 92404-4816 Ph: (909) 882-2973 | Sun Ik Kim, MD 489 E 21st St, San Bernardino, CA 92404-4816 Ph: (909) 882-2973 |
David Stewart Koslov, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 489 E 21st St, San Bernardino, CA 92404 Phone: 909-882-2973 Fax: 909-882-2681 | |
Vincent Jih Chong Wong, Urology Medicare: Accepting Medicare Assignments Practice Location: 489 E 21st St, San Bernardino, CA 92404 Phone: 190-988-2297 | |
Franklin M Chu, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 489e 21st St, San Bernardino, CA 92404 Phone: 909-882-2973 Fax: 909-882-2681 | |
Dr. Steve Dong, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 489 E 21st St, San Bernardino, CA 92404 Phone: 909-882-2973 Fax: 909-882-2681 | |
Avinash Chenam, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 489 E 21st St, San Bernardino, CA 92404 Phone: 909-882-2973 Fax: 909-882-2681 | |
Daniel J Lama, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 489 E 21st St, San Bernardino, CA 92404 Phone: 909-882-2973 Fax: 909-882-2681 |