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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386668002 NPPES
California MEDICAID 00A729650

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