Michael P Kim (NPI# 1346336070, PAC ID# 1355246745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346336070 |
| PAC ID by PECOS | 1355246745 |
| Professional Enrollment ID | I20031126000490 |
| Full Name | Michael P Kim |
| Organization Legal Name | LIVE WELL MEDICAL CENTER INC |
| Address |
2828 Mills Park Dr Suite B Rancho Cordova CA 95670-4711 |
| Phone Number | 9163680816 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254572027 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2828 Mills Park Dr, Suite B, Rancho Cordova, CA 95670-4711 | 9163680816 | LIVE WELL MEDICAL CENTER INC |
| 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 9166172515 | LIVE WELL MEDICAL CENTER INC |
| Organization Legal Name | LIVE WELL MEDICAL CENTER INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Augusto Sychukok | General Practice | Live Well Medical Center Inc | 515 Michigan Blvd, West Sacramento, CA 95691-2705 |
| Michael Perry Bass | General Practice | Live Well Medical Center Inc | 2828 Mills Park Dr, Suite B, Rancho Cordova, CA 95670-4711 |
| Samuel Dismond | General Practice | Live Well Medical Center Inc | 2828 Mills Park Dr, Suite B, Rancho Cordova, CA 95670-4711 |
| Street Address |
2828 MILLS PARK DR SUITE B |
| City | RANCHO CORDOVA |
| State | CA |
| Zip | 95670-4711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Perry Bass | General Practice | Live Well Medical Center Inc | 2828 Mills Park Dr, Suite B, Rancho Cordova, CA 95670-4711 |
| Samuel Dismond | General Practice | Live Well Medical Center Inc | 2828 Mills Park Dr, Suite B, Rancho Cordova, CA 95670-4711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian A Folsom | Physical Therapy | The Physical Therapy Clinics, Inc. | 10390 Coloma Rd, Suite 7, Rancho Cordova, CA 95670-2152 |
| Olga Petlinska | Physician Assistant | Kali S Eswaran Md Inc | 1995 Zinfandel Dr, Suite 201, Rancho Cordova, CA 95670-2862 |
| Vasudeva Rao Desai | Internal Medicine | Kali S Eswaran Md Inc | 1995 Zinfandel Dr, Suite 201, Rancho Cordova, CA 95670-2862 |
| Josefina A Aquino | Internal Medicine | Kali S Eswaran Md Inc | 1995 Zinfandel Dr, Suite 201, Rancho Cordova, CA 95670-2862 |
| Kali S Eswaran | Internal Medicine | Kali S Eswaran Md Inc | 1995 Zinfandel Dr, Suite 201, Rancho Cordova, CA 95670-2862 |
| Sabina Sampath | Physician Assistant | Kali S Eswaran Md Inc | 1995 Zinfandel Dr, Suite 201, Rancho Cordova, CA 95670-2862 |
| Virginia H Enrico | Clinical Psychologist | 11137 Nile River Ct, Rancho Cordova, CA 95670-2941 | |
| Dwight E Clark | Optometry | Joseph R Martel Md Inc | 11216 Trinity River Dr, Rancho Cordova, CA 95670-2968 |
| Joseph R Martel | Ophthalmology | Joseph R Martel Md Inc | 11216 Trinity River Dr, Rancho Cordova, CA 95670-2968 |
| Laura L Rogers | Optometry | 11216 Trinity River Dr, Rancho Cordova, CA 95670-2968 | |
| Find all physicians in zip 95670 | |||
| City | RANCHO CORDOVA |
| Zip Code | 95670 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RANCHO CORDOVA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael P 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.