Kim, Isaac Kwangnyon

Kim, Isaac Kwangnyon is an individual health care provider with primary practice located at 4476 Tweedy Blvd , South Gate CA 90280-6359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Isaac Kwangnyon can be contacted via phone (323) 825-8300.

Contact Information

Primary practice address
4476 Tweedy Blvd South Gate CA 90280-6359
Phone: (323) 825-8300
Fax: (866) 372-2719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A87972 California

Profile Details

NPI number 1134223134
LBN Legal business name Kim, Isaac Kwangnyon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Aug 23rd, 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 1134223134 NPPES
California MEDICAID 00A879720

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