Kim, Jongjin
Kim, Jongjin is an individual health care provider with primary practice located at 5471 La Palma Ave , La Palma CA 90623-1745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Jongjin can be contacted via phone (714) 752-6088.Contact Information
Primary practice address
5471 La Palma Ave
La Palma CA 90623-1745
Phone: (714) 752-6088
Fax: (657) 577-9135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A133928 | California |
Profile Details
| NPI number | 1356605836 |
|---|---|
| LBN Legal business name | Kim, Jongjin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2012 |
| Last updated | Oct 28th, 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 | 1356605836 | NPPES |
| Maryland | MEDICAID | N/A | |
| Maryland | Other | N/A |
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