Kim, Sun Ik

Kim, Sun Ik is an individual health care provider with primary practice located at 489 E 21St St , San Bernardino CA 92404-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kim, Sun Ik can be contacted via phone (909) 882-2973.

Contact Information

Primary practice address
489 E 21St St San Bernardino CA 92404-4816
Phone: (909) 882-2973
Fax: (909) 882-2681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A69380 California

Profile Details

NPI number 1093738932
LBN Legal business name Kim, Sun Ik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
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 1093738932 NPPES
California MEDICAID 0A693801
California Other 00A693801

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