Kim, Young Song
Kim, Young Song is an sole proprietor health care provider with primary practice located at 80539 Pebble Bch , La Quinta CA 92253-4627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kim, Young Song can be contacted via phone (760) 564-0241.Contact Information
Primary practice address
80539 Pebble Bch
La Quinta CA 92253-4627
Phone: (760) 564-0241
Fax: (760) 564-5941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | C36986 | California |
Profile Details
| NPI number | 1619064904 |
|---|---|
| LBN Legal business name | Kim, Young Song |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 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.
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