Kim, Grace S

Kim, Grace S is an sole proprietor health care provider with primary practice located at 1660 San Carlos Ave , San Carlos CA 94070-2022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Kim, Grace S can be contacted via phone (650) 759-9122.

Contact Information

Primary practice address
1660 San Carlos Ave San Carlos CA 94070-2022
Phone: (650) 759-9122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A76484 California

Profile Details

NPI number 1083634323
LBN Legal business name Kim, Grace S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jul 27th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083634323 NPPES
California Other A76484 MEDICAL LICENSE

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