Kim, Grace L
Kim, Grace L is an sole proprietor health care provider with primary practice located at 805 Aerovista Pl Suite 106, San Luis Obispo CA 93401-7919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Kim, Grace L can be contacted via phone (805) 541-1595.Contact Information
Primary practice address
805 Aerovista Pl Suite 106
San Luis Obispo CA 93401-7919
Phone: (805) 541-1595
Fax: (805) 594-1241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A48699 | California |
Profile Details
| NPI number | 1740276989 |
|---|---|
| LBN Legal business name | Kim, Grace L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Mar 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740276989 | NPPES |
| California | MEDICAID | 00A486990 |
Popular Providers
-
Weiss, Bennett T
1010 Murray St , San Luis Obispo CA 93405-8800 -
Chirman, Guy N
1010 Murray St , San Luis Obispo CA 93405-8800 -
David, Saul J
1010 Murray St , San Luis Obispo CA 93405-8800 -
Jeyanandarajan, Sundarampillai
1911 Johnson Ave , San Luis Obispo CA 93401-4131 -
Broomall, Robert H
1010 Murray St , San Luis Obispo CA 93405-8800 -
Stenger, Mary M
1010 Murray St , San Luis Obispo CA 93405-8800 -
Smelser, Julie N
1911 Johnson Ave , San Luis Obispo CA 93401-4131 -
Vest, Jerrold A
1010 Murray St , San Luis Obispo CA 93405-8800