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
Fax: (661) 831-8279
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740200476 NPPES
California MEDICAID 00A380850

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