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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598816688 | NPPES |
California | Other | G60832 | MEDICAL LICENSE # |
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