| Jennifer Kim, | |
|
1000 W Carson St, Torrance, CA 90502-2059 | |
| (424) 306-4386 | |
| Not Available |
| Full Name | Jennifer Kim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1000 W Carson St, 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 |
|---|---|---|---|
| 1639718323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP95020590 (California) | Primary |
| 163W00000X | Registered Nurse | 95155332 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usc Care Medical Group Inc | 0446157747 | 1215 |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Entity Name | Mellow Medical Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Kim, 1000 W Carson St, Torrance, CA 90502-2059 Ph: (424) 306-4386 | Jennifer Kim, 1000 W Carson St, Torrance, CA 90502-2059 Ph: (424) 306-4386 |
Dina M Meza, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Head And Neck Box 6, Torrance, CA 90502 Phone: 310-222-2741 Fax: 310-222-5518 | |
Kriska Aimee Tiglao, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1328 Portola Ave, Torrance, CA 90501 Phone: 310-872-6563 | |
Aziz Zaouadi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4101 Torrance Blvd, Torrance, CA 90503 Phone: 323-494-7440 | |
Eun Hye Yeon, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1727 Crenshaw Blvd, Torrance, CA 90501 Phone: 310-373-7855 | |
Maureen Saligumba, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-1912 | |
Anjana Johanis, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 424-306-8323 | |
Miss Veronica Lyn Arres, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Skypark Dr Ste 220, Torrance, CA 90505 Phone: 310-257-5750 |