Kim, Brian S

Kim, Brian S is an individual health care provider with primary practice located at 700 Lawrence Expy , Santa Clara CA 95051-5173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kim, Brian S can be contacted via phone (650) 400-0531.

Contact Information

Primary practice address
700 Lawrence Expy Santa Clara CA 95051-5173
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A92254 California

Profile Details

NPI number 1881881787
LBN Legal business name Kim, Brian S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Sep 10th, 2012 - about 13 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 1881881787 NPPES
California Other 00A922540 BC/BS
California MEDICAID 1881881787 BC/BS

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