Kim, Nicholas Youngrae

Kim, Nicholas Youngrae is an sole proprietor health care provider with primary practice located at 3010 W Orange Ave #409, Anaheim CA 92804-3169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Kim, Nicholas Youngrae can be contacted via phone (714) 484-3781.

Contact Information

Primary practice address
3010 W Orange Ave #409 Anaheim CA 92804-3169
Phone: (714) 484-3781
Fax: (714) 484-3852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X A52615 California

Profile Details

NPI number 1235227760
LBN Legal business name Kim, Nicholas Youngrae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jun 2nd, 2009 - 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 1235227760 NPPES
California MEDICAID 00A526150

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