Kim, Chung Ja
Kim, Chung Ja is an sole proprietor health care provider with primary practice located at 333 S Western Ave Ste A, Los Angeles CA 90020-3804. She recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as her primary health care specialty. Kim, Chung Ja can be contacted via phone (213) 385-9133.Contact Information
Primary practice address
333 S Western Ave Ste A
Los Angeles CA 90020-3804
Phone: (213) 385-9133
Fax: (213) 385-3121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1023032406 |
|---|---|
| LBN Legal business name | Kim, Chung Ja |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jun 13th, 2008 - about 17 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 | 1023032406 | NPPES |
| California | MEDICAID | DME01438F |
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