Imok Cha (NPI# 1619085263, PAC ID# 6709865470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1619085263 |
| PAC ID by PECOS | 6709865470 |
| Professional Enrollment ID | I20040715001402 |
| Full Name | Imok Cha |
| Organization Legal Name | MARIN MEDICAL LABORATORIES |
| Address |
250 Bon Air Rd Greenbrae CA 94904-1702 |
| Phone Number | 4159257174 |
| Gender | F |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1990 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 7911990916 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050360 | MARIN GENERAL HOSPITAL |
| 050090 | SONOMA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 | 4159256900 | MARIN GASTROENTEROLOGY |
| 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 4159257174 | MARIN MEDICAL LABORATORIES |
| 347 Andrieux St, Sonoma, CA 95476-6811 | 7079355185 | MARIN MEDICAL LABORATORIES |
| Organization Legal Name | MARIN MEDICAL LABORATORIES |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Wolfe | Pathology | Marin Medical Laboratories | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Frederick J Kretzschmar | Pathology | Marin Medical Laboratories | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Christopher J Kim | Pathology | Marin Medical Laboratories | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Paul W Wasserstein | Pathology | Marin Medical Laboratories | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Kedar Che Prasad | Pathology | Marin Medical Laboratories | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Wanhua Yang | Pathology | Marin Medical Laboratories | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Richard Wilber | Pathology | Marin Medical Laboratories | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Street Address |
250 BON AIR RD |
| City | GREENBRAE |
| State | CA |
| Zip | 94904-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Elaine Schmidt | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| Gordon J Juriansz | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| George Paul | Anesthesiology | Anesthesiology Consultants of Marin | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Joshua S Kane | Psychiatry | County of Marin | 250 Bon Air Rd, Greenbrae, CA 94904-1784 |
| Terry L Hand | Plastic and Reconstructive Surgery | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | |
| Denis J Glenn | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| Harith H Al Shuwaykh | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| Tom Joseph | Anesthesiology | Anesthesiology Consultants of Marin | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Kerry L Davidson | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 250 Bon Air Rd, Rm 3209, Greenbrae, CA 94904-1702 |
| Vineet Kapur | Critical Care (intensivists) | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn G Orlova Zitzer | Nurse Practitioner | 250 Bon Air Dr, Greenbrae, CA 94904 | |
| Anthony Michael Sajewicz | Diagnostic Radiology | West Florida Radiology Associates Pa | 31 Corte Lodato, Greenbrae, CA 94904-1225 |
| Chloe A Martin | Psychologist, Clinical | 1030 Sir Francis Drake Blvd, Suite 100, Kentfield, CA 94904-1411 | |
| Monica J Sligh | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Genevieve F Smith | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Aida Calvillo | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Melvin Selinger | Critical Care (intensivists) | Aretaeus Telemedicine Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Robert P Lasser | Psychologist, Clinical | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | |
| Francis X Perez | Family Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Michael K Vaughan | Family Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Find all physicians in zip 94904 | |||
| City | GREENBRAE |
| Zip Code | 94904 |
| Specialty | PATHOLOGY |
| City + Specialty | GREENBRAE + PATHOLOGY |
Please comment or provide details below to improve the information on Imok Cha.
| 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.