| Mr John H Kim, PA-C | |
|
18 Bon Air Rd, Larkspur, CA 94939-1123 | |
| (415) 927-5300 | |
| (415) 927-6860 |
| Full Name | Mr John H Kim |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 18 Bon Air Rd, Larkspur, 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 |
|---|---|---|---|
| 1821150269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA17379 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John H Kim, PA-C 18 Bon Air Rd, Larkspur, CA 94939-1123 Ph: (415) 927-5300 | Mr John H Kim, PA-C 18 Bon Air Rd, Larkspur, CA 94939-1123 Ph: (415) 927-5300 |
Xiaojing Jennifer He, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Bon Air Rd Ste 100, Larkspur, CA 94939 Phone: 415-927-0666 Fax: 415-937-6159 |
Nicole Taylor See, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 |
Stephani M Munayer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 Bon Air Rd Ste 100, Larkspur, CA 94939 Phone: 415-927-0666 |
Quianna Oshia Ashley-white, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 |
Maria Elizabeth Beloy Bradley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Bon Air Rd Ste 11794929, Larkspur, CA 94939 Phone: 415-448-1500 |
Kathleen Abu, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2 Bon Air Rd, Suite 100, Larkspur, CA 94939 Phone: 415-927-6173 |
Mykaela Poe, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5 Bon Air Rd Ste 117, Larkspur, CA 94939 Phone: 415-448-1500 |