Kim, Chang Pa

Kim, Chang Pa is an sole proprietor health care provider with primary practice located at 17051 Bear Valley Rd , Hesperia CA 92345-1845. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kim, Chang Pa can be contacted via phone (760) 948-7901.

Contact Information

Primary practice address
17051 Bear Valley Rd Hesperia CA 92345-1845
Phone: (760) 948-7901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 46530 California

Profile Details

NPI number 1891070470
LBN Legal business name Kim, Chang Pa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2011
Last updated Oct 14th, 2011 - about 14 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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