Kim, Catherine Chong-Ae

Kim, Catherine Chong-Ae is an individual health care provider with primary practice located at 1147 Red Tail Way , Simi Valley CA 93065-7232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kim, Catherine Chong-Ae can be contacted via phone (805) 527-8055.

Contact Information

Primary practice address
1147 Red Tail Way Simi Valley CA 93065-7232
Phone: (805) 527-8055
Fax: (805) 520-8849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A55929 California

Profile Details

NPI number 1972596120
LBN Legal business name Kim, Catherine Chong-Ae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jun 27th, 2012 - about 12 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 1972596120 NPPES
California MEDICAID 00A559290

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