| Jin Man Kim Family Md Inc | |
|
8237 Rochester Ave #130 Rancho Cucamonga CA 91730-6780 | |
| (909) 948-7590 | |
| (909) 948-7290 |
| Full Name | Jin Man Kim Family Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8237 Rochester Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Jin Man Kim (FAMILY PRACTICE) |
| Authorized Official Contact | 9099487590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jin Man Kim Family Md Inc 8237 Rochester Ave #130 Rancho Cucamonga CA 91730-0716 Ph: (909) 948-7590 | Jin Man Kim Family Md Inc 8237 Rochester Ave #130 Rancho Cucamonga CA 91730-6780 Ph: (909) 948-7590 |
| NPI Number | 1851412894 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 07/13/2015 |
| Medicare PECOS PAC ID | 0143324798 |
|---|---|
| Medicare Enrollment ID | O20070409000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851412894 | NPI | - | NPPES |
| A61463 | Other | CA | STATE LIC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A61463 (California) | Primary |
| Provider Name | Jin M Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558371401 PECOS PAC ID: 1456391218 Enrollment ID: I20050511000322 |
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 | |
Bluemedplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10970 Arrow Rte Ste 205, Rancho Cucamonga, CA 91730 Phone: 909-446-2304 | |
California Foothills Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8211 Rochester Ave, Suite 101, Rancho Cucamonga, CA 91730 Phone: 909-945-2425 Fax: 909-948-6971 | |
Andrea Tieng, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10801 Foothill Blvd Ste 106, Rancho Cucamonga, CA 91730 Phone: 909-255-7200 Fax: 909-255-7215 | |
Mihir K. Sanghvi, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5155 Seagreen Ct, Rancho Cucamonga, CA 91739 Phone: 951-323-5598 | |
Deepak Thiagarajan, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave Ste 210, Rancho Cucamonga, CA 91730 Phone: 909-881-5994 | |
Prowellness Healthcare Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8439 White Oak Ave Ste 1038439, Rancho Cucamonga, CA 91730 Phone: 818-532-2222 Fax: 818-591-7322 |