Kim, Suzy

Kim, Suzy is an sole proprietor health care provider with primary practice located at 2767 E Imperial Hwy , Brea CA 92821-6713. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Kim, Suzy can be contacted via phone (714) 578-8706.

Contact Information

Primary practice address
2767 E Imperial Hwy Brea CA 92821-6713
Phone: (714) 578-8706
Fax: (714) 578-8715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X A86559 California
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A86559 California

Profile Details

NPI number 1508820531
LBN Legal business name Kim, Suzy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Sep 21st, 2023 - about last year

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 1508820531 NPPES
California MEDICAID 00A865590

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