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
Fax: (626) 397-2912
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 1588790315 NPPES
California MEDICAID 1588790315
California Other 0A1028090

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