Gordon S Lum (NPI# 1902830359, PAC ID# 8921059346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1902830359 |
| PAC ID by PECOS | 8921059346 |
| Professional Enrollment ID | I20050202001083 |
| Full Name | Gordon S Lum |
| Organization Legal Name | PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA A MEDICAL CORPORATION |
| Address |
1191 Phelps Ave Coalinga CA 93210-9609 |
| Phone Number | 8055633011 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3870405384 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051332 | MARK TWAIN MEDICAL CENTER |
| 051311 | ORCHARD HOSPITAL |
| 050039 | ENLOE MEDICAL CENTER |
| 050002 | ST ROSE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1191 Phelps Ave, Coalinga, CA 93210-9609 | 8055633011 | PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA A MEDICAL CORPORATION |
| Organization Legal Name | PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA A MEDICAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel H Slishman | Emergency Medicine | Premier Emergency Physicians of California A Medical Corporation | 300 Canal St, King City, CA 93930-3431 |
| Street Address |
1191 PHELPS AVE |
| City | COALINGA |
| State | CA |
| Zip | 93210-9609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louise Audet | Physical Therapy | 222 5th St Plz, Coalinga, CA 93210 | |
| Paul A Griffin | Family Medicine | Paul A Griffin Md A Professional Corporation | 222 N 5th St, Coalinga, CA 93210-1702 |
| Sarah M Briggs | Nurse Practitioner | Paul A Griffin Md A Professional Corporation | 222 N 5th St, Coalinga, CA 93210-1702 |
| Donald Ervin | Physician Assistant | Paul A Griffin Md A Professional Corporation | 222 N 5th St, Coalinga, CA 93210-1702 |
| Jeffrey W White | Optometry | 352 Coalinga Plz, Coalinga, CA 93210-1704 | |
| Anthony Dike | Internal Medicine | Department of State Hospitals | 24511 W Jayne Ave, Coalinga State Hospital, Coalinga, CA 93210-5000 |
| Neil M Waugh | Clinical Psychologist | 416 Juniper Ridge Blvd, Coalinga, CA 93210-9266 | |
| Leonel Apodaca | Internal Medicine | 1145 Phelps Ave, Suite 104, Coalinga, CA 93210-9443 | |
| Gregory S Kaczenski | Psychiatry | Department of State Hospitals | 24511 W Jayne Ave, Coalinga, CA 93210-9503 |
| Rodolfo A Castillo-ruiz | Internal Medicine | Department of State Hospitals | 24511 W Jayne Ave, Coalinga, CA 93210-9503 |
| Find all physicians in zip 93210 | |||
| City | COALINGA |
| Zip Code | 93210 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | COALINGA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Gordon S Lum.
| 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.