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
Phone: (650) 400-0531
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881881787 | NPPES |
California | Other | 00A922540 | BC/BS |
California | MEDICAID | 1881881787 | BC/BS |
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