Kim, Amy Lynn
Kim, Amy Lynn is an sole proprietor health care provider with primary practice located at 100 W California Blvd , Pasadena CA 91105-3010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Kim, Amy Lynn can be contacted via phone (626) 397-5000.Contact Information
Primary practice address
100 W California Blvd
Pasadena CA 91105-3010
Phone: (626) 397-5000
Fax: (626) 397-2912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A102809 | California |
Profile Details
| NPI number | 1588790315 |
|---|---|
| LBN Legal business name | Kim, Amy Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Dec 4th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588790315 | NPPES |
| California | MEDICAID | 1588790315 | |
| California | Other | 0A1028090 |
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