Kim, Sally
Kim, Sally is an individual health care provider with primary practice located at 10710 N Torrey Pines Rd , La Jolla CA 92037-1035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kim, Sally can be contacted via phone (858) 554-7984.Contact Information
Primary practice address
10710 N Torrey Pines Rd
La Jolla CA 92037-1035
Phone: (858) 554-7984
Fax: (858) 554-6714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A78043 | California |
Profile Details
| NPI number | 1689635088 |
|---|---|
| LBN Legal business name | Kim, Sally |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jan 7th, 2020 - about 4 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 | 1689635088 | NPPES |
| California | MEDICAID | 00A780430 |
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