Kim, John Hyung Sup

Kim, John Hyung Sup is an individual health care provider with primary practice located at 33255 9Th St , Union City CA 94587-2137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, John Hyung Sup can be contacted via phone (510) 471-5880.

Contact Information

Primary practice address
33255 9Th St Union City CA 94587-2137
Phone: (510) 471-5880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G81600 California

Profile Details

NPI number 1679652317
LBN Legal business name Kim, John Hyung Sup
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Dec 10th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679652317 NPPES
California MEDICAID 00G816000

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