Kim, Jeannie G
Kim, Jeannie G is an sole proprietor health care provider with primary practice located at 2400 E 4Th St , National City CA 91950-2026. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Kim, Jeannie G can be contacted via phone (888) 657-1576.Contact Information
Primary practice address
2400 E 4Th St
National City CA 91950-2026
Phone: (888) 657-1576
Fax: (619) 937-3698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A72965 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A72965 | California |
Profile Details
| NPI number | 1386668002 |
|---|---|
| LBN Legal business name | Kim, Jeannie G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | May 1st, 2019 - about 5 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 | 1386668002 | NPPES |
| California | MEDICAID | 00A729650 |
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