Kim, Ida

Kim, Ida is an individual health care provider with primary practice located at 2647 Foothill Blvd , La Crescenta CA 91214-3511. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kim, Ida can be contacted via phone (818) 248-1016.

Contact Information

Primary practice address
2647 Foothill Blvd La Crescenta CA 91214-3511
Phone: (818) 248-1016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 53136 California

Profile Details

NPI number 1285982264
LBN Legal business name Kim, Ida
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2012
Last updated Aug 22nd, 2012 - about 12 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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