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
Phone: (510) 907-0014
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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