| Mrs Kimberly S Hua, PA-C | |
|
1600 S Gaffey St, San Pedro, CA 90731-4628 | |
| (310) 548-0201 | |
| (310) 547-3340 |
| Full Name | Mrs Kimberly S Hua |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1600 S Gaffey St, San Pedro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346594363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA22681 (California) | Primary |
| Entity Name | Dr Mona Shah Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053643171 PECOS PAC ID: 2062548084 Enrollment ID: O20100405000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly S Hua, PA-C 1600 S. Gaffey Street, San Pedro, CA 90731 Ph: (310) 548-0201 | Mrs Kimberly S Hua, PA-C 1600 S Gaffey St, San Pedro, CA 90731-4628 Ph: (310) 548-0201 |
Ashley Turner, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 302 W 5th St Ste 308, San Pedro, CA 90731 Phone: 424-570-6955 |
Eshani Gautam Patel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 270 W 14th St, San Pedro, CA 90731 Phone: 310-519-8723 |
Michael Appy, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1643 Westmont Dr, San Pedro, CA 90732 Phone: 310-430-8308 |
Cristhiam Al Santos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 593 W 6th St, San Pedro, CA 90731 Phone: 310-547-0202 Fax: 310-547-0202 |
Nancy M Hejde, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 S Seaside Ave, San Pedro, CA 90731 Phone: 310-521-6053 |
Emily Lavi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 W 5th St Ste 209, San Pedro, CA 90731 Phone: 310-521-6386 |
Jesse Duro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 593 W 6th St, San Pedro, CA 90731 Phone: 310-547-0202 |