Kim, Paul Jaegu

Kim, Paul Jaegu is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Kim, Paul Jaegu can be contacted via phone (858) 657-8530.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (858) 657-8530
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A109213 California
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X A109213 California

Profile Details

NPI number 1417104837
LBN Legal business name Kim, Paul Jaegu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2008
Last updated Oct 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417104837 NPPES
California MEDICAID 00A869820

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