Kim, Chung Won

Kim, Chung Won is an individual health care provider with primary practice located at 11190 Warner Ave Ste 300 , Fountain Valley CA 92708-4045. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kim, Chung Won can be contacted via phone (714) 893-6008.

Contact Information

Primary practice address
11190 Warner Ave Ste 300 Fountain Valley CA 92708-4045
Phone: (714) 893-6008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 21840 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 21840 California

Profile Details

NPI number 1386070894
LBN Legal business name Kim, Chung Won
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2013
Last updated Jul 17th, 2014 - about 10 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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