Kim, Brian Songsu

Kim, Brian Songsu is an sole proprietor health care provider with primary practice located at 1406 Jefferson St , Delano CA 93215-2222. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Brian Songsu can be contacted via phone (661) 725-9430.

Contact Information

Primary practice address
1406 Jefferson St Delano CA 93215-2222
Phone: (661) 725-9430
Fax: (661) 725-7221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4095501 California

Profile Details

NPI number 1295868636
LBN Legal business name Kim, Brian Songsu
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 9th, 2007 - about 19 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 1295868636 NPPES
California MEDICAID B4095501

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