Kim, Seung Nam

Kim, Seung Nam is an individual health care provider with primary practice located at 475W Fallbrook Ave , Clovis CA 93611-7165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, Seung Nam can be contacted via phone (559) 900-4951.

Contact Information

Primary practice address
475W Fallbrook Ave Clovis CA 93611-7165
Phone: (559) 900-4951
Fax: (866) 610-3752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A32168 California

Profile Details

NPI number 1134112154
LBN Legal business name Kim, Seung Nam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 18th, 2015 - about 9 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 1134112154 NPPES
California MEDICAID 00A321680

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