Kim, Eun Jung

Kim, Eun Jung is an sole proprietor health care provider with primary practice located at 1115 Loxley Pl , Walnut CA 91789-4808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kim, Eun Jung can be contacted via phone (909) 762-4414.

Contact Information

Primary practice address
1115 Loxley Pl Walnut CA 91789-4808
Phone: (909) 762-4414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95021811 California

Profile Details

NPI number 1235867961
LBN Legal business name Kim, Eun Jung
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2022
Last updated Aug 10th, 2022 - about 3 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.

Request for update

Popular Providers