Kim, Jin K.
Kim, Jin K. is an individual health care provider with primary practice located at 10050 N Wolfe Rd Ste Sw1190 , Cupertino CA 95014-2595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Kim, Jin K. can be contacted via phone (408) 236-6400.Contact Information
Primary practice address
10050 N Wolfe Rd Ste Sw1190
Cupertino CA 95014-2595
Phone: (408) 236-6400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | A62489 | California |
Profile Details
NPI number | 1760561401 |
---|---|
LBN Legal business name | Kim, Jin K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2006 |
Last updated | Dec 6th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760561401 | NPPES |
California | MEDICAID | 00A624890 |
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