Kim, Young Min
Kim, Young Min is an sole proprietor health care provider with primary practice located at 3724 Lone Tree Way Suite A, Antioch CA 94509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, Young Min can be contacted via phone (925) 778-0700.Contact Information
Primary practice address
3724 Lone Tree Way Suite A
Antioch CA 94509
Phone: (925) 778-0700
Fax: (925) 778-7400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | C51136 | California |
Profile Details
| NPI number | 1649236522 |
|---|---|
| LBN Legal business name | Kim, Young Min |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1649236522 | NPPES |
| California | MEDICAID | 00C511360 |
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