Khoe, Jennifer Lin

Khoe, Jennifer Lin is an individual health care provider with primary practice located at 4405 Vandever Ave , San Diego CA 92120-3315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Khoe, Jennifer Lin can be contacted via phone (619) 662-1222.

Contact Information

Primary practice address
4405 Vandever Ave San Diego CA 92120-3315
Phone: (619) 662-1222
Fax: (619) 516-7508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A91543 California

Profile Details

NPI number 1679553101
LBN Legal business name Khoe, Jennifer Lin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Dec 1st, 2021 - about 3 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 1679553101 NPPES
California MEDICAID 00A915430

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