Kim, Bock J
Kim, Bock J is an sole proprietor health care provider with primary practice located at 6501 Eastern Ave #B, Bell Gardens CA 90201. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kim, Bock J can be contacted via phone (323) 773-2082.Contact Information
Primary practice address
6501 Eastern Ave #B
Bell Gardens CA 90201
Phone: (323) 773-2082
Fax: (323) 560-3905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 48728 | California |
Profile Details
| NPI number | 1528112968 |
|---|---|
| LBN Legal business name | Kim, Bock J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 14th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528112968 | NPPES |
| California | Other | 1528112968 | DENTICAL |
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