Kim, Nellie Hyun

Kim, Nellie Hyun is an individual health care provider with primary practice located at 1533 Euclid St , Santa Monica CA 90404-3306. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Kim, Nellie Hyun can be contacted via phone (310) 452-3325.

Contact Information

Primary practice address
1533 Euclid St Santa Monica CA 90404-3306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1871807800
LBN Legal business name Kim, Nellie Hyun
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2010
Last updated Aug 2nd, 2010 - about 15 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 1871807800 NPPES
California Other 95-1647832 TAX ID

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