Kim, Joo R
Kim, Joo R is an sole proprietor health care provider with primary practice located at 9905 Bace Ave , Bakersfield CA 93307-6211. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Kim, Joo R can be contacted via phone (661) 831-1100.Contact Information
Primary practice address
9905 Bace Ave
Bakersfield CA 93307-6211
Phone: (661) 831-1100
Fax: (661) 831-8279
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Legal Medicine | 173000000X | A28531 | California |
Profile Details
NPI number | 1740200476 |
---|---|
LBN Legal business name | Kim, Joo R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 19th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1740200476 | NPPES |
California | MEDICAID | 00A380850 |
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