Dong Kim (NPI# 1942267992, PAC ID# 0446309413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1942267992 |
| PAC ID by PECOS | 0446309413 |
| Professional Enrollment ID | I20090521000342 |
| Full Name | Dong Kim |
| Address |
11441 Heacock St Suite F Moreno Valley CA 92557-7907 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050102 | PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11441 Heacock St, Suite F, Moreno Valley, CA 92557-7907 |
| Street Address |
11441 HEACOCK ST SUITE F |
| City | MORENO VALLEY |
| State | CA |
| Zip | 92557-7907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorraine Reverson Ray | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 11441 Heacock St, Suite C, Moreno Valley, CA 92557-7907 |
| Francis D Chan | Internal Medicine | Faculty Physicians and Surgeons of Llusm | 11441 Heacock St, Suite C, Moreno Valley, CA 92557-7907 |
| Merrick R Lopez | Critical Care (intensivists) | Faculty Physicians and Surgeons of Llusm | 11441 Heacock St, Suite C, Moreno Valley, CA 92557-7907 |
| Michelle H L Loh | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 11441 Heacock St, Moreno Valley, CA 92557-7907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Harrison | General Practice | 24318 Hemlock Ave, Suite E1, Moreno Valley, CA 92557-7225 | |
| Harry Karna | Oral Surgery | 12264 Perris Blvd, Moreno Valley, CA 92557-7418 | |
| Ronald Norman Kent | Neurology | 11481 Heacock St, Suite 120, Moreno Valley, CA 92557-7906 |
| City | MORENO VALLEY |
| Zip Code | 92557 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MORENO VALLEY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dong Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.