Kim, Tommy Youngho

Kim, Tommy Youngho is an individual health care provider with primary practice located at 11234 Anderson St A 108, Loma Linda CA 92354-2804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Kim, Tommy Youngho can be contacted via phone (909) 558-4000.

Contact Information

Primary practice address
11234 Anderson St A 108 Loma Linda CA 92354-2804
Phone: (909) 558-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X A74005 California

Profile Details

NPI number 1730172693
LBN Legal business name Kim, Tommy Youngho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 19th, 2010 - about 14 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 1730172693 NPPES
Utah MEDICAID Z72778

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