Kim, Grace

Kim, Grace is an individual health care provider with primary practice located at 18300 Roscoe Blvd , Northridge CA 91328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kim, Grace can be contacted via phone (818) 885-8500.

Contact Information

Primary practice address
18300 Roscoe Blvd Northridge CA 91328
Phone: (818) 885-8500
Fax: (818) 700-5690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95006124 California

Profile Details

NPI number 1255867594
LBN Legal business name Kim, Grace
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2017
Last updated May 5th, 2017 - about 7 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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