Kim, Azalia

Kim, Azalia is an individual health care provider with primary practice located at 264 Landis Ave Ste 200 , Chula Vista CA 91910-2651. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kim, Azalia can be contacted via phone (619) 977-6851.

Contact Information

Primary practice address
264 Landis Ave Ste 200 Chula Vista CA 91910-2651
Phone: (619) 977-6851
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1679089130
LBN Legal business name Kim, Azalia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2017
Last updated Jan 31st, 2020 - about 4 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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