Prum, Kunthy
Prum, Kunthy is an individual health care provider with primary practice located at 1082 Redondo Ave , Long Beach CA 90804. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Prum, Kunthy can be contacted via phone (562) 434-4457.Contact Information
Primary practice address
1082 Redondo Ave
Long Beach CA 90804
Phone: (562) 434-4457
Fax: (562) 434-4458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A39667 | California |
Profile Details
| NPI number | 1760582738 |
|---|---|
| LBN Legal business name | Prum, Kunthy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760582738 | NPPES |
| California | MEDICAID | 00A396670 |
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