Kim, Kathleen
Kim, Kathleen is an individual health care provider with primary practice located at 3350 La Jolla Village Dr M/C 116A, San Diego CA 92161-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kim, Kathleen can be contacted via phone (858) 552-8585.Contact Information
Primary practice address
3350 La Jolla Village Dr M/C 116A
San Diego CA 92161-0002
Phone: (858) 552-8585
Fax: (858) 642-6442
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G86882 | California |
Profile Details
NPI number | 1710902739 |
---|---|
LBN Legal business name | Kim, Kathleen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | Jul 8th, 2007 - 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 | 1710902739 | NPPES |
Illinois | MEDICAID | 036090635 |
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