Jin Man Kim Family Md Inc
LBN: Jin Man Kim Family Md Inc
Jin Man Kim Family Md Inc is an health care organization with primary practice located at 8237 Rochester Ave #130, Rancho Cucamonga CA 91730-6780. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Jin Man Kim Family Md Inc can be contacted via phone (909) 948-7590, or through Kim, Jin Man via phone (909) 948-7590.
Contact Information
Primary practice address
8237 Rochester Ave #130
Rancho Cucamonga CA 91730-6780
Phone: (909) 948-7590
Fax: (909) 948-7290
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A61463 | California |
Profile Details
NPI number | 1851412894 |
---|---|
LBN Legal business name | Jin Man Kim Family Md Inc |
DBA Doing business as | |
Authorized official | Kim, Jin Man Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 3rd, 2007 |
Last updated | Jul 13th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851412894 | NPPES |
California | Other | A61463 | STATE LIC # |
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