Eric E Kim (NPI# 1578660916, PAC ID# 4486793551) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1578660916 |
| PAC ID by PECOS | 4486793551 |
| Professional Enrollment ID | I20091202000616 |
| Full Name | Eric E Kim |
| Address |
4456 Manzanita Ave C Clearlake CA 95422-7937 |
| Phone Number | 7079949191 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051317 | ADVENTIST HEALTH CLEARLAKE |
| 050301 | ADVENTIST HEALTH UKIAH VALLEY |
| 050013 | ADVENTIST HEALTH ST HELENA |
| Address | Phone | Organization |
|---|---|---|
| 4456 Manzanita Ave, C, Clearlake, CA 95422-7937 | 7079949191 |
| Street Address |
4456 MANZANITA AVE C |
| City | CLEARLAKE |
| State | CA |
| Zip | 95422-7937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond D Jennings | Internal Medicine | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Martin Paukert | Plastic and Reconstructive Surgery | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Christopher P Lombardo | Otolaryngology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Michael Rudolph Cosenza | Podiatry | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Andrew B Chung | Ophthalmology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Ian D Macagy | Obstetrics/gynecology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Jenny L Senff | Nurse Practitioner | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Kimberly Fordham | Family Practice | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Joanne Rode | Physician Assistant | 7000 B S Ctr Dr, Unit A, Clearlake, CA 95422-8131 | |
| Thomas J Lancaster | Psychiatry | County of Lake | 7000 B S Ctr Dr, Unit A, Clearlake, CA 95422-8131 |
| Find all physicians in zip 95422 | |||
| City | CLEARLAKE |
| Zip Code | 95422 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLEARLAKE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Eric E 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.