Kim, Jiensup
Kim, Jiensup is an individual health care provider with primary practice located at 900 E Washington St Suite 100A, Colton CA 92324-7111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Kim, Jiensup can be contacted via phone (909) 370-0300.Contact Information
Primary practice address
900 E Washington St Suite 100A
Colton CA 92324-7111
Phone: (909) 370-0300
Fax: (909) 370-0303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | G75806 | California |
Profile Details
| NPI number | 1639131154 |
|---|---|
| LBN Legal business name | Kim, Jiensup |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Mar 24th, 2011 - about 13 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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