Kim, Luis Woong-Jin

Kim, Luis Woong-Jin is an individual health care provider with primary practice located at 901 Ventura Ave , Albany CA 94707-2122. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kim, Luis Woong-Jin can be contacted via phone (510) 526-1757.

Contact Information

Primary practice address
901 Ventura Ave Albany CA 94707-2122
Phone: (510) 526-1757
Fax: (510) 526-3397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 50151 California

Profile Details

NPI number 1134342025
LBN Legal business name Kim, Luis Woong-Jin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 18th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134342025 NPPES
California Other 412170551 TAX I.D.

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