Kim, Robert

Kim, Robert is an sole proprietor health care provider with primary practice located at 2100 Powell St Ste 900 , Emeryville CA 94608-1844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kim, Robert can be contacted via phone (510) 350-2600.

Contact Information

Primary practice address
2100 Powell St Ste 900 Emeryville CA 94608-1844
Phone: (510) 350-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 232008 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A73505 California

Profile Details

NPI number 1851444384
LBN Legal business name Kim, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated May 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 1851444384 NPPES
New York MEDICAID 02590518

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