Kim, Andrew Jeong

Kim, Andrew Jeong is an individual health care provider with primary practice located at 1720 Termino Ave , Long Beach CA 90804-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Andrew Jeong can be contacted via phone (562) 498-1000.

Contact Information

Primary practice address
1720 Termino Ave Long Beach CA 90804-2104
Phone: (562) 498-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A62488 California

Profile Details

NPI number 1982680914
LBN Legal business name Kim, Andrew Jeong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 13th, 2011 - about 15 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 1982680914 NPPES
California MEDICAID 00A624880

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