Kim, Jung O.

Kim, Jung O. is an individual health care provider with primary practice located at 1600 W Avenue J , Lancaster CA 93534-2814. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kim, Jung O. can be contacted via phone (661) 478-7420.

Contact Information

Primary practice address
1600 W Avenue J Lancaster CA 93534-2814
Phone: (661) 478-7420
Fax: (661) 726-6149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95002596 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95002596 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95002596 California

Profile Details

NPI number 1215307095
LBN Legal business name Kim, Jung O.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2015
Last updated Aug 9th, 2022 - about 2 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.

Request for update

Popular Providers