Jae Kim, Md Plc

LBN: Jae Kim, Md Plc
Jae Kim, Md Plc is an health care organization with primary practice located at 10721 Main St Ste 205 , Fairfax VA 22030-6902. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is the primary health care specialty. Jae Kim, Md Plc can be contacted via phone (703) 705-2100, or through Kim, Jae via phone (347) 551-1113.

Contact Information

Primary practice address
10721 Main St Ste 205 Fairfax VA 22030-6902
Phone: (703) 705-2100
Fax: (703) 935-0330
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jae
Phone: (347) 551-1113

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1306308382
LBN Legal business name Jae Kim, Md Plc
DBA Doing business as
Authorized official Kim, Jae
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2019
Last updated Jun 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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