Sim, Kenneth T

Sim, Kenneth T is an individual health care provider with primary practice located at 120 W Hellman Ave Ste 203 , Monterey Park CA 91754-1209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sim, Kenneth T can be contacted via phone (626) 457-6333.

Contact Information

Primary practice address
120 W Hellman Ave Ste 203 Monterey Park CA 91754-1209
Fax: (626) 457-1933
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A40177 California

Profile Details

NPI number 1831109578
LBN Legal business name Sim, Kenneth T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 15th, 2024 - about 8 months 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 1831109578 NPPES
California MEDICAID 00A401770

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