Kim, Shin Ja

Kim, Shin Ja is an individual health care provider with primary practice located at 3663 W 6Th St #201, La CA 90020. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kim, Shin Ja can be contacted via phone (213) 389-0155.

Contact Information

Primary practice address
3663 W 6Th St #201 La CA 90020
Phone: (213) 389-0155
Fax: (213) 389-2099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 19869 California

Profile Details

NPI number 1407057870
LBN Legal business name Kim, Shin Ja
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 17 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 1407057870 NPPES
California MEDICAID 6707225

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