Kim, Paul J.
Kim, Paul J. is an individual health care provider with primary practice located at 2895 Edinger Ave , Tustin CA 92780-7257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kim, Paul J. can be contacted via phone (949) 381-5800.Contact Information
Primary practice address
2895 Edinger Ave
Tustin CA 92780-7257
Phone: (949) 381-5800
Fax: (949) 552-5152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | A93398 | California |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | L-239140 | Massachusetts |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 0101247041 | Virginia |
Profile Details
| NPI number | 1629205190 |
|---|---|
| LBN Legal business name | Kim, Paul J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2009 |
| Last updated | Feb 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629205190 | NPPES |
| Virginia | Other | 10059062 | OPTIMA HEALTH |
| Virginia | Other | 1629205190 | OPTIMA HEALTH |
| Virginia | Other | 401734 | OPTIMA HEALTH |
| Virginia | Other | 401742 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | 401737 | OPTIMA HEALTH |
| Virginia | MEDICAID | 5914173 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | MEDICAID | 1629205190 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | 401745 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
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