| Michelle Ner Kim, PT | |
|
43112 15th St W, Lancaster, CA 93534-6219 | |
| (661) 726-2469 | |
| Not Available |
| Full Name | Michelle Ner Kim |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 23 Years |
| Location | 43112 15th St W, Lancaster, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699983288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 30204 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ner Kim, PT 42253 57th St W, Lancaster, CA 93536-3791 Ph: () - | Michelle Ner Kim, PT 43112 15th St W, Lancaster, CA 93534-6219 Ph: (661) 726-2469 |
Maria Concepcion Tuico Perez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44303 N. Lowtree Ave, Lancaster, CA 93534 Phone: 661-940-5494 Fax: 661-940-0825 | |
Antonette Ellesmere Distan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Arnica Ln, Lancaster, CA 93535 Phone: 818-601-9714 | |
Julian Blake Vanderlinden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44303 Lowtree Ave, Lancaster, CA 93534 Phone: 661-940-5494 | |
Carol Louise Hawkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1306 W Avenue J Suite 2, Lancaster, CA 93534 Phone: 661-948-0186 Fax: 661-945-5736 | |
Mr. Gustavo Casas Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43830 10th St W, Lancaster, CA 93534 Phone: 661-494-8600 | |
Lancaster Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412 W Avenue J Ste E, Lancaster, CA 93534 Phone: 661-945-0884 | |
Dexter Maganda, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412 W Avenue J, Lancaster, CA 93534 Phone: 661-945-0884 Fax: 661-942-9714 |