Izadi, Jeongsim Kim

Izadi, Jeongsim Kim is an sole proprietor health care provider with primary practice located at 2814 Montair Pl , Union City CA 94587-1680. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Hospice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Izadi, Jeongsim Kim can be contacted via phone (510) 907-0014.

Contact Information

Primary practice address
2814 Montair Pl Union City CA 94587-1680
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hospice 163WH1000X D2102705 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95016945 California

Profile Details

NPI number 1639776933
LBN Legal business name Izadi, Jeongsim Kim
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2020
Last updated Aug 20th, 2021 - 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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