Kim, Peter

Kim, Peter is an individual health care provider with primary practice located at 27400 Hesperian Blvd , Hayward CA 94545-4235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Kim, Peter can be contacted via phone (510) 784-4000.

Contact Information

Primary practice address
27400 Hesperian Blvd Hayward CA 94545-4235
Phone: (510) 784-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X G64504 California

Profile Details

NPI number 1124107818
LBN Legal business name Kim, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1124107818 NPPES
California MEDICAID 00G645040

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