Park, Jeanny Kim
Park, Jeanny Kim is an individual health care provider with primary practice located at 2516 Stockton Blvd , Sacramento CA 95817-2208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Park, Jeanny Kim can be contacted via phone (916) 734-3589.Contact Information
Primary practice address
2516 Stockton Blvd
Sacramento CA 95817-2208
Phone: (916) 734-3589
Fax: (916) 734-0424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | G68672 | California |
Profile Details
| NPI number | 1023090206 |
|---|---|
| LBN Legal business name | Park, Jeanny Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Oct 25th, 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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