Shim, Elisabeth K

Shim, Elisabeth K is an individual health care provider with primary practice located at 1301 20Th St Suite 570, Santa Monica CA 90404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Shim, Elisabeth K can be contacted via phone (310) 315-0171.

Contact Information

Primary practice address
1301 20Th St Suite 570 Santa Monica CA 90404
Phone: (310) 315-0171
Fax: (310) 828-6647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A65723 California

Profile Details

NPI number 1518013689
LBN Legal business name Shim, Elisabeth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
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 1518013689 NPPES
California Other A65723 LICENCE

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