Kim, Jenny Miyon

Kim, Jenny Miyon is an individual health care provider with primary practice located at 3010 Childrens Way 2-West, San Diego CA 92123-4223. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Kim, Jenny Miyon can be contacted via phone (858) 966-5811.

Contact Information

Primary practice address
3010 Childrens Way 2-West San Diego CA 92123-4223
Phone: (858) 966-5811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A80257 California
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X A80257 California

Profile Details

NPI number 1255402012
LBN Legal business name Kim, Jenny Miyon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 30th, 2011 - about 14 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 1255402012 NPPES
California MEDICAID 00A802570

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