Kim, Dong S

Kim, Dong S is an individual health care provider with primary practice located at 11441 Heacock St Ste F, Moreno Valley CA 92557-7907. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kim, Dong S can be contacted via phone (951) 243-8000.

Contact Information

Primary practice address
11441 Heacock St Ste F Moreno Valley CA 92557-7907
Phone: (951) 243-8000
Fax: (951) 243-9707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A48273 California

Profile Details

NPI number 1942267992
LBN Legal business name Kim, Dong S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 26th, 2015 - 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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