Kim, Jerry J

Kim, Jerry J is an individual health care provider with primary practice located at 350 Vinton Ave Ste 202 , Pomona CA 91767-3000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kim, Jerry J can be contacted via phone (909) 909-1148.

Contact Information

Primary practice address
350 Vinton Ave Ste 202 Pomona CA 91767-3000
Phone: (909) 909-1148
Fax: (909) 363-4954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A124130 California
Allopathic & Osteopathic Physicians / Surgery 208600000X A124130 California

Profile Details

NPI number 1912295510
LBN Legal business name Kim, Jerry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2011
Last updated Aug 1st, 2023 - about 2 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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