Kim, Christian K

Kim, Christian K is an individual health care provider with primary practice located at 901 E St Suite 285, San Rafael CA 94901-2850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kim, Christian K can be contacted via phone (145) 454-5565.

Contact Information

Primary practice address
901 E St Suite 285 San Rafael CA 94901-2850
Phone: (145) 454-5565
Fax: (415) 454-3358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G83836 California

Profile Details

NPI number 1336130525
LBN Legal business name Kim, Christian K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 7th, 2023 - 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 1336130525 NPPES
California MEDICAID 00G83836

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