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James M. Kim

Anesthesiology

Allopathic & Osteopathic Physicians

2288 Auburn Blvd, Suite 200, Sacramento, CA 95821-1618

PECOS Enrollment

This provider is enrolled in PECOS as JAMES KIM.

Based on the most recent information from CMS, provider James M. Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 26 days ago.

Profile Details

Provider ID
1316041726
Provider Type
Individual
Full Name
Kim, James M.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/8/2006
Last Updated
12/27/2007

Contact Information

Practice Location

2288 Auburn Blvd, Suite 200, Sacramento, CA 95821-1618

(916) 564-3377

Unlisted Fax

Mailing Location

2288 Auburn Blvd, Suite 200, Sacramento, CA 95821-1618

(916) 564-3377

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License A095965 California

James M. Kim

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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