Kim, Young Soon

Kim, Young Soon is an individual health care provider with primary practice located at 17507 Crenshaw Blvd , Torrance CA 90504-3403. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kim, Young Soon can be contacted via phone (310) 324-4443.

Contact Information

Primary practice address
17507 Crenshaw Blvd Torrance CA 90504-3403
Phone: (310) 324-4443
Fax: (310) 324-7925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A32590 California

Profile Details

NPI number 1669476206
LBN Legal business name Kim, Young Soon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 8th, 2007 - about 18 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 1669476206 NPPES
California MEDICAID 00A325900

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