Pudberry, Eden Kim

Pudberry, Eden Kim is an sole proprietor health care provider with primary practice located at 6078 Old Quarry Loop , Oakland CA 94605-3380. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Pudberry, Eden Kim can be contacted via phone (415) 726-7878.

Contact Information

Primary practice address
6078 Old Quarry Loop Oakland CA 94605-3380
Phone: (415) 726-7878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X ND327 California

Profile Details

NPI number 1972118305
LBN Legal business name Pudberry, Eden Kim
Credentials ND
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2020
Last updated Sep 11th, 2020 - about 5 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 1972118305 NPPES
California Other ND327 NATUROPATHIC MEDICINE COMMITTEE

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