Kim, Cho Long Elizabeth
Kim, Cho Long Elizabeth is an sole proprietor health care provider with primary practice located at 5701 W Cholla St , Glendale AZ 85304-3337. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Other Service Providers / Naturopath, Allopathic & Osteopathic Physicians / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kim, Cho Long Elizabeth can be contacted via phone (562) 822-2772.Contact Information
Primary practice address
5701 W Cholla St
Glendale AZ 85304-3337
Phone: (562) 822-2772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 260691 | Arizona |
| Other Service Providers / Naturopath | 175F00000X | 09-1122 | Arizona |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 09-1122 | Arizona |
Profile Details
| NPI number | 1467680165 |
|---|---|
| LBN Legal business name | Kim, Cho Long Elizabeth |
| Credentials | NMD, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Oct 23rd, 2024 - about 2 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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