Kang, Grace Ha Eun

Kang, Grace Ha Eun is an sole proprietor health care provider with primary practice located at 3851 Rosecrans St Suite Y15, San Diego CA 92110-3115. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Kang, Grace Ha Eun can be contacted via phone (619) 692-8435.

Contact Information

Primary practice address
3851 Rosecrans St Suite Y15 San Diego CA 92110-3115
Phone: (619) 692-8435
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 761532 California
Nursing Service Providers / Community Health 163WC1500X 76626 California

Profile Details

NPI number 1710368550
LBN Legal business name Kang, Grace Ha Eun
Credentials RN, PHN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2015
Last updated Jun 17th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710368550 NPPES
California Other RN 761532 CA BRN
California Other PHN 76626 CA BRN

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