Michael Chunmin Kim (NPI# 1871715888, PAC ID# 2567651391) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1871715888 |
| PAC ID by PECOS | 2567651391 |
| Professional Enrollment ID | I20110111000065 |
| Full Name | Michael Chunmin Kim |
| Organization Legal Name | EISENHOWER MEDICAL CENTER |
| Address |
151 S Sunrise Way Suite 300 Palm Springs CA 92262-0129 |
| Phone Number | 7609697770 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 5890689657 |
| Number of Group Practice Members | 277 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050573 | EISENHOWER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 151 S Sunrise Way, Suite 300, Palm Springs, CA 92262-0129 | 7609697770 | EISENHOWER MEDICAL CENTER |
| 72780 Country Club Dr, Suite B203, Rancho Mirage, CA 92270-4150 | 7606743847 | EISENHOWER MEDICAL CENTER |
| Organization Legal Name | EISENHOWER MEDICAL CENTER |
| Physicians | 285 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda B Paul | Internal Medicine | Eisenhower Medical Center | 1555 S Palm Canyon Dr, Bldg C, Palm Springs, CA 92264-8354 |
| Gregory M Apel | Emergency Medicine | Eisenhower Medical Center | 39700 Bob Hope Dr, Suite 101, Rancho Mirage, CA 92270-3269 |
| Benjamin T Mahdi | Family Medicine | Eisenhower Medical Center | 45280 Seeley Dr, Fl 2, La Quinta, CA 92253-6834 |
| Tracey A Gomez | Nurse Practitioner | Eisenhower Medical Center | 40075 Bob Hope Dr, Suite A, Rancho Mirage, CA 92270-3945 |
| John Austin Roberts | Psychiatry | Eisenhower Medical Center | 4791 E Palm Canyon Dr, Suite 200, Palm Springs, CA 92264-5234 |
| Shakti Mahapatra | Obstetrics/gynecology | Eisenhower Medical Center | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 |
| Robert Waterbor | Internal Medicine | Eisenhower Medical Center | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 |
| Glenn M Jabola | Family Medicine | Eisenhower Medical Center | 74020 Alessandro Dr, Suite B, Palm Desert, CA 92260-3707 |
| Aurora L Benson | Family Medicine | Eisenhower Medical Center | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 |
| Gary Y Huang | Internal Medicine | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Street Address |
151 S SUNRISE WAY SUITE 300 |
| City | PALM SPRINGS |
| State | CA |
| Zip | 92262-0129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger O Barrett | Physician Assistant | Desert Orthopedic Center A Medical Group Inc | 151 S Sunrise Way, Palm Springs, CA 92262-0118 |
| Kevin Wong | Pain Management | Desert Orthopedic Center A Medical Group Inc | 151 S Sunrise Way, Palm Springs, CA 92262-0118 |
| James Bell | Sports Medicine | Desert Orthopedic Center A Medical Group Inc | 151 S Sunrise Way, Palm Springs, CA 92262-0118 |
| Matthew Daniel Gibson Bartie | Physician Assistant | Desert Orthopedic Center A Medical Group Inc | 151 S Sunrise Way, Palm Springs, CA 92262-0118 |
| Michael D Guiles | Physician Assistant | Desert Orthopedic Center A Medical Group Inc | 151 S Sunrise Way, Palm Springs, CA 92262-0118 |
| Denny Mauricio | Family Medicine | Eisenhower Medical Center | 151 S Sunrise Way, Suite 300, Palm Springs, CA 92262-0129 |
| David Daniel Savin | Orthopedic Surgery | Desert Orthopedic Center A Medical Group Inc | 151 S Sunrise Way, Palm Springs, CA 92262-0118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hani I Salib | Internal Medicine | 1401 N Palm Canyon, Suite 102, Palm Springs, CA 92262-0000 | |
| Rebecca S Hyatt | Clinical Social Worker | 1111 E Tahquitz Canyon Way, Suite 121, Palm Springs, CA 92262-0102 | |
| David Wolgin | Psychologist, Clinical | 1111 E Tahquitz Canyon Way, Suite 209, Palm Springs, CA 92262-0102 | |
| Danny N Phillips | Clinical Social Worker | 1111 E Tahquitz Canyon Way, Suite 121, Palm Springs, CA 92262-0102 | |
| Timothy Michael Fishback | Psychiatry | 3022 N Avenida Caballeros, Palm Springs, CA 92262-2390 | |
| Sandra Eileen Gune | Chiropractic | 1701 N Palm Canyon Dr, Palm Springs, CA 92262-2923 | |
| Patricia Sotolongo | Internal Medicine | 2299 N Indian Canyon Dr, Palm Desert, CA 92262-3023 | |
| Abdallah N Abusamrah Salaimeh | Internal Medicine | 2299 N Indian Canyon Dr, Palm Desert, CA 92262-3023 | |
| Jyll Ann Chandler Reyes | Speech Language Pathologist | 1445 N Sunrise Way, Palm Springs, CA 92262-3700 | |
| Daniel Richard Parker | Psychologist, Clinical | Desert Aids Project | 1695 N Sunrise Way, Palm Springs, CA 92262-3701 |
| Find all physicians in zip 92262 | |||
| City | PALM SPRINGS |
| Zip Code | 92262 |
| Specialty | PSYCHIATRY |
| City + Specialty | PALM SPRINGS + PSYCHIATRY |
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| 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.