Kim, Samuel C.

Kim, Samuel C. is an sole proprietor health care provider with primary practice located at 555 N 13Th Ave , Upland CA 91786-4904. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Kim, Samuel C. can be contacted via phone (909) 982-8846.

Contact Information

Primary practice address
555 N 13Th Ave Upland CA 91786-4904
Phone: (909) 982-8846
Fax: (909) 949-3967
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Ohio
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X A123812 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD042959 District of Columbia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101257811 Virginia

Profile Details

NPI number 1720379100
LBN Legal business name Kim, Samuel C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2011
Last updated Jun 24th, 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.

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