Yi, Ki Sang
Yi, Ki Sang is an sole proprietor health care provider with primary practice located at 1703 Termino Ave Suite #103, Long Beach CA 90804-2124. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Yi, Ki Sang can be contacted via phone (562) 597-5100.Contact Information
Primary practice address
1703 Termino Ave Suite #103
Long Beach CA 90804-2124
Phone: (562) 597-5100
Fax: (562) 597-5165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E4250 | California |
Profile Details
| NPI number | 1033120118 |
|---|---|
| LBN Legal business name | Yi, Ki Sang |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1033120118 | NPPES |
| California | MEDICAID | 000E42500 | |
| California | Other | E4250A |
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