| Dr Sung H Kim, DPT | |
|
17207 Ventura Blvd Ste 4, Encino, CA 91316-4035 | |
| (818) 386-8070 | |
| (818) 386-8071 |
| Full Name | Dr Sung H Kim |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 19 Years |
| Location | 17207 Ventura Blvd Ste 4, Encino, 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 |
|---|---|---|---|
| 1770761983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 33851 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Base Training And Physical Therapy A California Corporation | 5890913859 | 6 |
| Provider Name | Base Training And Physical Therapy A California Corporation |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1972916609 PECOS PAC ID: 5890913859 Enrollment ID: O20140904001604 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sung H Kim, DPT 17207 Ventura Blvd Ste 4, Encino, CA 91316-4035 Ph: (818) 386-8070 | Dr Sung H Kim, DPT 17207 Ventura Blvd Ste 4, Encino, CA 91316-4035 Ph: (818) 386-8070 |
Mrs. Rachel George, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5359 Balboa Blvd, Encino, CA 91316 Phone: 818-304-0990 Fax: 818-304-0996 | |
Advanced Therapy Ot Pt Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16573 Ventura Blvd Ste 8, Encino, CA 91436 Phone: 818-986-7266 Fax: 818-907-3890 | |
Peter Theodorus Otto Van Der Heide, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5500 Lindley Ave, Unit 121, Encino, CA 91316 Phone: 408-398-1163 | |
Ms. Bonnie M. Cardenas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5359 Balboa Blvd # A, Encino, CA 91316 Phone: 818-506-7821 Fax: 818-506-6722 | |
Speech Source Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 503, Encino, CA 91436 Phone: 818-788-4121 | |
Mrs. Jana Ampara Ashcraft, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16550 Ventura Blvd, Suite 400, Encino, CA 91436 Phone: 818-905-1331 Fax: 818-905-8836 | |
Emily Diebold, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16430 Ventura Blvd, Suite 108, Encino, CA 91436 Phone: 818-788-2544 Fax: 818-788-2610 |