Organization · Type 2 NPI

Ilkyoon Kim MD A Prof Corp

Exclusive Provider Organization · Clearlake, CA

NPI number 1659516094 Active

Practice location

15666 18th Ave
Clearlake, CA 95422-9336

Fax (707) 994-0839

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization Primary 302F00000XA-34081 (CA)

Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…

Another provider at this address

About NPI 1659516094

Ilkyoon Kim MD A Prof Corp's National Provider Identifier is 1659516094, issued on Dec 15, 2008. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in Clearlake, CA. The record was last updated on Apr 12, 2013.