Shim, Kyuyoung

Shim, Kyuyoung is an individual health care provider with primary practice located at 7212 Orangethorpe Ave 9A, Buena Park CA 90621-3341. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Shim, Kyuyoung can be contacted via phone (714) 503-6550.

Contact Information

Primary practice address
7212 Orangethorpe Ave 9A Buena Park CA 90621-3341
Phone: (714) 503-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1902210206
LBN Legal business name Shim, Kyuyoung
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2014
Last updated Jun 13th, 2014 - about 11 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 1902210206 NPPES
California Other E2749600 DRIVER LICENCE NUMBER

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