John Hwan Kim Evergreen Medical Group

LBN: John Hwan Kim Evergreen Medical Group
John Hwan Kim Evergreen Medical Group is an health care organization with primary practice located at 18555 Farjardo Street , Rowland Heights CA 91748-4634. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. John Hwan Kim Evergreen Medical Group can be contacted via phone (626) 831-1149, or through Kim, John via phone (626) 831-1149.

Contact Information

Primary practice address
18555 Farjardo Street Rowland Heights CA 91748-4634
Phone: (626) 831-1149
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, John
Phone: (626) 831-1149

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT14527 California

Profile Details

NPI number 1376553651
LBN Legal business name John Hwan Kim Evergreen Medical Group
DBA Doing business as
Authorized official Kim, John
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376553651 NPPES
California Other WPT14527A PPIN

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