Swanson, Kim T.

Swanson, Kim T. is an sole proprietor health care provider with primary practice located at 1401 Avocado Ave Suite 303, Newport Beach CA 92660-8728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Swanson, Kim T. can be contacted via phone (949) 721-1708.

Contact Information

Primary practice address
1401 Avocado Ave Suite 303 Newport Beach CA 92660-8728
Phone: (949) 721-1708
Fax: (949) 721-1757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G60832 California

Profile Details

NPI number 1598816688
LBN Legal business name Swanson, Kim T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Jul 6th, 2016 - about 8 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 1598816688 NPPES
California Other G60832 MEDICAL LICENSE #

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