Kim, E. Edmund

Kim, E. Edmund is an sole proprietor health care provider with primary practice located at 16100 Sand Canyon Ave Ste 130 , Irvine CA 92618-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Kim, E. Edmund can be contacted via phone (713) 792-3008.

Contact Information

Primary practice address
16100 Sand Canyon Ave Ste 130 Irvine CA 92618-3722
Phone: (713) 792-3008
Fax: (713) 792-4580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X G0448 Texas

Profile Details

NPI number 1235222902
LBN Legal business name Kim, E. Edmund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Aug 1st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235222902 NPPES
Texas MEDICAID 124031901
Texas Other 800323

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