Kim, Mary I

Kim, Mary I is an individual health care provider with primary practice located at 11406 Loma Linda Dr Suite 516, Loma Linda CA 92354-3711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Kim, Mary I can be contacted via phone (909) 558-6277.

Contact Information

Primary practice address
11406 Loma Linda Dr Suite 516 Loma Linda CA 92354-3711
Phone: (909) 558-6277
Fax: (909) 558-6278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 119219 California

Profile Details

NPI number 1780724435
LBN Legal business name Kim, Mary I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 11th, 2014 - about 10 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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