Kim, Taewoong
Kim, Taewoong is an sole proprietor health care provider with primary practice located at 39000 Bob Hope Dr , Rancho Mirage CA 92270-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Taewoong can be contacted via phone (760) 340-3911.Contact Information
Primary practice address
39000 Bob Hope Dr
Rancho Mirage CA 92270-3221
Phone: (760) 340-3911
Fax: (760) 773-1497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A39455 | California |
Profile Details
| NPI number | 1154330298 |
|---|---|
| LBN Legal business name | Kim, Taewoong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154330298 | NPPES |
| California | Other | 00A394550 | BLUE SHIELD |
| California | MEDICAID | 00A394550 | BLUE SHIELD |
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