Kim, Kyoung Jin
Kim, Kyoung Jin is an individual health care provider with primary practice located at 15435 S Western Ave Ste 201 , Gardena CA 90249-4324. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Kim, Kyoung Jin can be contacted via phone (213) 215-7323.Contact Information
Primary practice address
15435 S Western Ave Ste 201
Gardena CA 90249-4324
Phone: (213) 215-7323
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Critical Care Medicine | 163WC0200X | 714565 | California |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP95006053 | California |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | NP95006053 | California |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | NP95006053 | California |
Profile Details
NPI number | 1609392919 |
---|---|
LBN Legal business name | Kim, Kyoung Jin |
Credentials | AGNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2017 |
Last updated | Aug 17th, 2017 - about 7 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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