Kim, Alex

Kim, Alex is an individual health care provider with primary practice located at 15027 Calle La Paloma , Chino Hills CA 91709-5011. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kim, Alex can be contacted via phone (909) 973-3178.

Contact Information

Primary practice address
15027 Calle La Paloma Chino Hills CA 91709-5011
Phone: (909) 973-3178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95014273 California

Profile Details

NPI number 1376142976
LBN Legal business name Kim, Alex
Credentials MSN, RN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2020
Last updated Oct 23rd, 2020 - about 6 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 1376142976 NPPES
California Other 95014273 BOARD OF REGISTERED NURSING - NURSE PRACTITIONER LICENSE

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