Antonio, Kim
Antonio, Kim is an individual health care provider with primary practice located at 3530 Atlantic Ave Ste 210 , Long Beach CA 90807-4569. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Antonio, Kim can be contacted via phone (562) 424-1886.Contact Information
Primary practice address
3530 Atlantic Ave Ste 210
Long Beach CA 90807-4569
Phone: (562) 424-1886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1174027494 |
|---|---|
| LBN Legal business name | Antonio, Kim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2018 |
| Last updated | Mar 21st, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174027494 | NPPES |
| California | Other | 97961952F03143 | MEDI-CAL |
Popular Providers
-
Johnson, Rochelle
456 Elm Ave , Long Beach CA 90802-2426 -
Alvarez, Martha Leticia
850 E Wardlow Rd , Long Beach CA 90807 -
Dizon, Alison
200 Pine Ave Ste 400 , Long Beach CA 90802-3039 -
Cazarez, Monique Eva
900 E Wardlow Rd , Long Beach CA 90807-4628 -
Nelson, Isabelle
456 Elm Ave , Long Beach CA 90802-2426 -
Figueroa, Jennie
2025 E 7Th St , Long Beach CA 90804-4590 -
Barbagallo, Gary John
456 Elm Ave , Long Beach CA 90802-2426 -
Chung, Etta Lim
4510 E Pacific Coast Hwy Ste 600 , Long Beach CA 90804-6914