| Ms Heejin Emily Kim, NURSE PRACTITIONER | |
|
12362 Beach Blvd Ste 10, Stanton, CA 90680-3944 | |
| (714) 248-9500 | |
| Not Available |
| Full Name | Ms Heejin Emily Kim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12362 Beach Blvd Ste 10, Stanton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184242976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95009125 (California) | Primary |
| 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 |
| Entity Name | St. John's Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Heejin Emily Kim, NURSE PRACTITIONER 808 W 58th St, Los Angeles, CA 90037-3632 Ph: (323) 541-1600 | Ms Heejin Emily Kim, NURSE PRACTITIONER 12362 Beach Blvd Ste 10, Stanton, CA 90680-3944 Ph: (714) 248-9500 |
Anna Jang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12362 Beach Blvd Ste 10, Stanton, CA 90680 Phone: 714-248-9500 | |
Tae Yoon Won, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12362 Beach Blvd Ste 10, Stanton, CA 90680 Phone: 714-248-9500 | |
Ms. Lucie Fatima Darocha, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10460 E Briar Oaks Dr Apt B, Stanton, CA 90680 Phone: 562-607-4866 | |
Mr. Collin Yamaka, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12362 Beach Blvd Ste 10, Stanton, CA 90680 Phone: 714-248-9500 Fax: 714-622-4943 | |
Yvett Yoon Kim, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12362 Beach Blvd Ste 10, Stanton, CA 90680 Phone: 714-248-9500 Fax: 714-622-4943 | |
Ana Sayuri Beltran De Gelera, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12362 Beach Blvd Ste 10, Stanton, CA 90680 Phone: 714-248-9500 |