Kim, Kwang Sook
Kim, Kwang Sook is an sole proprietor health care provider with primary practice located at 9636 Garden Grove Blvd # 16 , Garden Grove CA 92844-1530. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Kim, Kwang Sook can be contacted via phone (714) 290-1657.Contact Information
Primary practice address
9636 Garden Grove Blvd # 16
Garden Grove CA 92844-1530
Phone: (714) 290-1657
Fax: (562) 404-4323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A37552 | California |
Profile Details
| NPI number | 1285725051 |
|---|---|
| LBN Legal business name | Kim, Kwang Sook |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 30th, 2011 - about 13 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 | 1285725051 | NPPES |
| California | MEDICAID | 00A375520 |
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