Mi La Kim (NPI# 1295047058, PAC ID# 6305161563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295047058 |
| PAC ID by PECOS | 6305161563 |
| Professional Enrollment ID | I20150210000868 |
| Full Name | Mi La Kim |
| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Address |
33758 Yucaipa Blvd Yucaipa CA 92399-2243 |
| Phone Number | 9097959747 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547164295 |
| Number of Group Practice Members | 281 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 9097959747 | BEAVER MEDICAL GROUP, L.P. |
| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Tyler | Physician Assistant | Beaver Medical Group, L.p. | 81 Highland Springs Ave, Suite 200, Beaumont, CA 92223-3170 |
| Prince C Esiobu | Vascular Surgery | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 202, Redlands, CA 92373-4867 |
| Madeline R Deutsch | Hospitalist | Beaver Medical Group, L.p. | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Katrina Carter | Family Medicine | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Chad J Brockardt | Orthopedic Surgery | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Tonya Ann Yoney | Family Medicine | Beaver Medical Group, L.p. | 5957 W Ramsey St, Banning, CA 92220-3058 |
| Edmund Ko | Urology | Beaver Medical Group, L.p. | 6109 W Ramsey St, Banning, CA 92220-3051 |
| Glen R Gaerte | Optometry | Beaver Medical Group, L.p. | 1300 E Cooley Dr, Colton, CA 92324-3905 |
| Michael G Leong | Family Medicine | Beaver Medical Group, L.p. | 7223 Church St C, Highland, CA 92346-5816 |
| Robert Torrey Jr. | Urology | Beaver Medical Group, L.p. | 345 Terracina Blvd, Suite C, Redlands, CA 92373-4829 |
| Street Address |
33758 YUCAIPA BLVD |
| City | YUCAIPA |
| State | CA |
| Zip | 92399-2243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie D Parrish | Nurse Practitioner | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| William M Spahn | Family Medicine | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Mina Sameh Sobhy Soliman | Family Medicine | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Lisa Shelly-ann Thompson | Family Medicine | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Karen A Winston | Pediatric Medicine | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Marc H Ma | Family Medicine | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Kaitlin Darlene Kostecki | Nurse Practitioner | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan H Lee | Physical Therapy | Adorador Enterprises | 32819 Yucaipa Blvd C, Yucaipa, CA 92399-1944 |
| Travis Cruz | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Kevin Morris | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Nicholas M Walther | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Anthony M Pinner | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Lesley Laird | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Christie Smirl | Nurse Practitioner | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Alfonso Becerra Jr. | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Stacey Aileen Pollom | Nurse Practitioner | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| William C Inciso | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Find all physicians in zip 92399 | |||
| City | YUCAIPA |
| Zip Code | 92399 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | YUCAIPA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mi La 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.