Kim, John Jin

Kim, John Jin is an individual health care provider with primary practice located at 1900 E Washington St , Colton CA 92324-4614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kim, John Jin can be contacted via phone (909) 825-3425.

Contact Information

Primary practice address
1900 E Washington St Colton CA 92324-4614
Phone: (909) 825-3425
Fax: (909) 825-6991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A111549 California

Profile Details

NPI number 1508050220
LBN Legal business name Kim, John Jin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Apr 14th, 2014 - about 10 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 1508050220 NPPES
California MEDICAID 1508050220

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