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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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