Kim, Jua Grace
Kim, Jua Grace is an sole proprietor health care provider with primary practice located at 6180 Riverside Dr Suite H, Chino CA 91710-4536. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kim, Jua Grace can be contacted via phone (909) 590-5355.Contact Information
Primary practice address
6180 Riverside Dr Suite H
Chino CA 91710-4536
Phone: (909) 590-5355
Fax: (909) 590-5333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1700097524 |
|---|---|
| LBN Legal business name | Kim, Jua Grace |
| Credentials | MFTI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Jul 8th, 2008 - about 17 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 | 1700097524 | NPPES |
| California | Other | E3975 | EMPLOYEE ID |
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