Kim, Chang Kyun

Kim, Chang Kyun is an sole proprietor health care provider with primary practice located at 1600 W Avenue J , Lancaster CA 93534-2814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Chang Kyun can be contacted via phone (661) 949-5000.

Contact Information

Primary practice address
1600 W Avenue J Lancaster CA 93534-2814
Phone: (661) 949-5000
Fax: (661) 949-5971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A34966 California

Profile Details

NPI number 1598779225
LBN Legal business name Kim, Chang Kyun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 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 1598779225 NPPES
California MEDICAID 00A349660
California Other 00A349660

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