Kim, Jason Myungjoon

Kim, Jason Myungjoon is an individual health care provider with primary practice located at 8227 Woodman Ave , Panorama City CA 91402-5426. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kim, Jason Myungjoon can be contacted via phone (818) 989-2333.

Contact Information

Primary practice address
8227 Woodman Ave Panorama City CA 91402-5426
Phone: (818) 989-2333
Fax: (818) 989-2675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH 39008 California

Profile Details

NPI number 1013903475
LBN Legal business name Kim, Jason Myungjoon
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1013903475 NPPES
California MEDICAID PHA451710

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