Van, Thu Kim

Van, Thu Kim is an sole proprietor health care provider with primary practice located at 12902 Brookhurst St Suite B, Garden Grove CA 92840-4881. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Van, Thu Kim can be contacted via phone (714) 636-3211.

Contact Information

Primary practice address
12902 Brookhurst St Suite B Garden Grove CA 92840-4881
Phone: (714) 636-3211
Fax: (714) 636-5956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3686 California

Profile Details

NPI number 1073577458
LBN Legal business name Van, Thu Kim
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Mar 8th, 2011 - about 13 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 1073577458 NPPES
California MEDICAID GRE000290

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