Kang, Phillip Tae Jin

Kang, Phillip Tae Jin is an sole proprietor health care provider with primary practice located at 10124 San Pablo Ave , El Cerrito CA 94530-3510. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Kang, Phillip Tae Jin can be contacted via phone (510) 524-1057.

Contact Information

Primary practice address
10124 San Pablo Ave El Cerrito CA 94530-3510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC 10148 California

Profile Details

NPI number 1427109164
LBN Legal business name Kang, Phillip Tae Jin
Credentials L.AC., DIPL. O.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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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