Samuel Kim, | |
20601 West Paoli Ln, Weimar, CA 95736 | |
(530) 637-4025 | |
Not Available |
Full Name | Samuel Kim |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 20601 West Paoli Ln, Weimar, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750146536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95028798 (California) | Primary |
Entity Name | Newstart Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588072698 PECOS PAC ID: 8628299799 Enrollment ID: O20141015001437 |
Mailing Address | Practice Location Address |
---|---|
Samuel Kim, 20601 West Paoli Ln, Weimar, CA 95736 Ph: (530) 637-4025 | Samuel Kim, 20601 West Paoli Ln, Weimar, CA 95736 Ph: (530) 637-4025 |
Kerstin Leah Ashby Ferguson, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20601 W. Paoli Lane, Weimar, CA 95736 Phone: 530-637-4025 | |
Brian Glass, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20601 W. Paoli Lane, Weimar, CA 95736 Phone: 559-797-0232 | |
Ethelyne Joyce A Acebedo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20601 W Paoli Lane, Weimar, CA 95736 Phone: 530-637-4025 | |
Samantha Abbade, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20601 West Paoli Lane, Weimar, CA 95736 Phone: 530-296-4417 |