Kim, Young Dae

Kim, Young Dae is an sole proprietor health care provider with primary practice located at 1460 E Holt Ave Suite 72, Pomona CA 91767-5856. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Kim, Young Dae can be contacted via phone (909) 623-0302.

Contact Information

Primary practice address
1460 E Holt Ave Suite 72 Pomona CA 91767-5856
Phone: (909) 623-0302
Fax: (909) 623-0480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC 5732 California

Profile Details

NPI number 1396803243
LBN Legal business name Kim, Young Dae
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Nov 16th, 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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