| Elaine Kim, | |
|
1115 Seneca Pl, Diamond Bar, CA 91765-4369 | |
| (909) 569-3682 | |
| Not Available |
| Full Name | Elaine Kim |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1115 Seneca Pl, Diamond Bar, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881045995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP 24297 (California) | Primary |
| 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 |
|---|---|
| Elaine Kim, 1115 Seneca Pl, Diamond Bar, CA 91765-4369 Ph: (909) 569-3682 | Elaine Kim, 1115 Seneca Pl, Diamond Bar, CA 91765-4369 Ph: (909) 569-3682 |
Christine Kwong, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 402 S Prospectors Rd Ste I, Diamond Bar, CA 91765 Phone: 909-922-2497 | |
Raksha Rajashekar Meti, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 706 N Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 909-396-8900 Fax: 909-396-9900 | |
Lida Suan Abraham, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 706 N Diamond Bar Blvd Ste B, Diamond Bar, CA 91765 Phone: 909-396-8900 Fax: 909-396-9900 | |
Jamie Billings, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 706 N Diamond Bar Blvd, Suite B, Diamond Bar, CA 91765 Phone: 909-396-8900 Fax: 909-396-9900 | |
Ms. Priyanka Shailat, MSC (SLP)., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 706 N Diamond Bar Blvd Ste B, Diamond Bar, CA 91765 Phone: 909-396-8900 Fax: 909-396-9900 | |
Stuti Shringi, M.S CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 706 N Diamond Bar Blvd Ste B2, Diamond Bar, CA 91765 Phone: 909-396-8900 Fax: 909-396-8900 | |
Bhumika Arvind, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 706 N Diamond Bar Blvd, Suite B2, Diamond Bar, CA 91765 Phone: 909-396-8900 |