Kim, Peter Yun Soo

Kim, Peter Yun Soo is an individual health care provider with primary practice located at 26357 Mcbean Pkwy , Valencia CA 91355-4488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, Peter Yun Soo can be contacted via phone (661) 222-2620.

Contact Information

Primary practice address
26357 Mcbean Pkwy Valencia CA 91355-4488
Phone: (661) 222-2620
Fax: (661) 222-2685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A48806 California

Profile Details

NPI number 1467477638
LBN Legal business name Kim, Peter Yun Soo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 12th, 2012 - about 12 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 1467477638 NPPES
California MEDICAID 00A488060

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