Kim, Elliot Heejae
Kim, Elliot Heejae is an sole proprietor health care provider with primary practice located at 8253 Sierra Ave Ste 205 , Fontana CA 92335-3577. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Kim, Elliot Heejae can be contacted via phone (909) 320-2844.Contact Information
Primary practice address
8253 Sierra Ave Ste 205
Fontana CA 92335-3577
Phone: (909) 320-2844
Fax: (909) 357-1244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 12044 | California |
Profile Details
| NPI number | 1093990764 |
|---|---|
| LBN Legal business name | Kim, Elliot Heejae |
| Credentials | ACUPUNCTURE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1093990764 | NPPES |
| California | Other | 12044 | AC |
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