Kim, Charlotte Y

Kim, Charlotte Y is an individual health care provider with primary practice located at 1575 Soquel Dr , Santa Cruz CA 95065-1700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Kim, Charlotte Y can be contacted via phone (831) 462-3050.

Contact Information

Primary practice address
1575 Soquel Dr Santa Cruz CA 95065-1700
Phone: (831) 462-3050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 00G801580 California

Profile Details

NPI number 1013079649
LBN Legal business name Kim, Charlotte Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Mar 6th, 2024 - about last year

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 1013079649 NPPES
California MEDICAID 00G801580

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