Jane O Kim | San Francisco, CA • PECOS Search

Jane O Kim

Pharmacist

Pharmacy Service Providers

505 Parnassus Ave, San Francisco, CA 94143-2206

(415) 353-1068 (650) 515-8123

PECOS Enrollment

Based on the most recent information from CMS, provider Jane O Kim does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1962490847
Provider Type
Individual
Full Name
Kim, Jane O
Title
Dr.
Credential
PHARM.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
10/13/2005
Last Updated
9/23/2009

Contact Information

Practice Location

505 Parnassus Ave, San Francisco, CA 94143-2206

Unlisted Fax

Mailing Location

521 Parnassus Ave, Room C152, Box 0622, San Francisco, CA 94143-2204

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 56271 California