Kim, Jessica
Kim, Jessica is an individual health care provider with primary practice located at 1125 E 16Th St Suite 4, Upland CA 91784-9179. She recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Other Service Providers / Acupuncturist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kim, Jessica can be contacted via phone (909) 297-3531.Contact Information
Primary practice address
1125 E 16Th St Suite 4
Upland CA 91784-9179
Phone: (909) 297-3531
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Sports Physician | 111NS0005X | DC 32286 | California |
Other Service Providers / Acupuncturist | 171100000X | AC 14601 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 55087 | California |
Profile Details
NPI number | 1285908673 |
---|---|
LBN Legal business name | Kim, Jessica |
Credentials | PA-C, D.C., L.AC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2012 |
Last updated | Oct 26th, 2017 - about 7 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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