| Paul Juho Kim, | |
|
8330 Red Oak St Ste 201, Rancho Cucamonga, CA 91730-0603 | |
| (909) 987-2528 | |
| (909) 987-4668 |
| Full Name | Paul Juho Kim |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 8330 Red Oak St Ste 201, Rancho Cucamonga, 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 |
|---|---|---|---|
| 1356208409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95037376 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Antonio Regional Hospital | Upland, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chaparral Medical Group Inc | 6800709403 | 66 |
| Entity Name | Chaparral Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093777666 PECOS PAC ID: 6800709403 Enrollment ID: O20040331001684 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Juho Kim, 2 Goldstar Pl, Pomona, CA 91766-6602 Ph: (213) 709-4516 | Paul Juho Kim, 8330 Red Oak St Ste 201, Rancho Cucamonga, CA 91730-0603 Ph: (909) 987-2528 |
Dorian Valdez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7567 Rhode Island Ct, Rancho Cucamonga, CA 91730 Phone: 909-646-2893 |
Sydney Lewis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9431 Haven Ave Ste 101, Rancho Cucamonga, CA 91730 Phone: 512-876-6133 |
Vanessa Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8273 White Oak Ave Ste B, Rancho Cucamonga, CA 91730 Phone: 909-686-0783 |
Dawn M Mcclure, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8470 Carson Pl Unit 30, Rancho Cucamonga, CA 91730 Phone: 314-440-8502 |
Jiao Feng, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8112 Milliken Ave Ste 201, Rancho Cucamonga, CA 91730 Phone: 909-466-7337 |
Christabel Marie Querubin-nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9375 Archibald Ave, Rancho Cucamonga, CA 91730 Phone: 999-999-9999 |
Mrs. Dionne A Gonzales, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6584 Elderberry Ct, Rancho Cucamonga, CA 91739 Phone: 323-407-1675 |