Ung, Kelly

Ung, Kelly is an individual health care provider with primary practice located at 9050 Whittier Blvd , Pico Rivera CA 90660-2410. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Ung, Kelly can be contacted via phone (562) 731-0470.

Contact Information

Primary practice address
9050 Whittier Blvd Pico Rivera CA 90660-2410
Phone: (562) 731-0470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA93516 California

Profile Details

NPI number 1740890789
LBN Legal business name Ung, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2020
Last updated Aug 4th, 2020 - about 5 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 1740890789 NPPES
California MEDICAID A5919410
California MEDICAID RDA93516

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