Jiyeon Kim, NURSE PRACTITIONER | |
18107 Sherman Way Ste 200, Reseda, CA 91335-8802 | |
(818) 783-1002 | |
Not Available |
Full Name | Jiyeon Kim |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 18107 Sherman Way Ste 200, Reseda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043780216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95006590 (California) | Primary |
Entity Name | Pacific Advanced Kidney Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992160501 PECOS PAC ID: 0547556003 Enrollment ID: O20160908002413 |
Mailing Address | Practice Location Address |
---|---|
Jiyeon Kim, NURSE PRACTITIONER 18107 Sherman Way Ste 200, Reseda, CA 91335-8802 Ph: (818) 783-1112 | Jiyeon Kim, NURSE PRACTITIONER 18107 Sherman Way Ste 200, Reseda, CA 91335-8802 Ph: (818) 783-1002 |
Sukhwinder Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7100 Yarmouth Ave, Reseda, CA 91335 Phone: 818-488-0009 | |
Mr. Elizabeth Salazar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6906 Topeka Dr, Reseda, CA 91335 Phone: 818-454-5973 | |
Ms. Lydia Kay Wilson, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335 Phone: 818-774-3354 Fax: 818-757-4401 | |
Mrs. Elizabeth Videla Lalane, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19353 Victory Blvd., Reseda, CA 91335 Phone: 818-996-4742 | |
Maria Therese Dela Merced, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7012 Reseda Blvd Ste 100, Reseda, CA 91335 Phone: 747-265-6423 | |
Dr. Poy Sakjirapapong Yamada, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18107 Sherman Way Ste 200, Reseda, CA 91335 Phone: 818-783-1002 |