Kim, Clement Changbum

Kim, Clement Changbum is an individual health care provider with primary practice located at 26357 Mcbean Pkwy , Valencia CA 91355-4488. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, Clement Changbum can be contacted via phone (661) 222-2658.

Contact Information

Primary practice address
26357 Mcbean Pkwy Valencia CA 91355-4488
Phone: (661) 222-2658
Fax: (661) 222-2663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A64821 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A64821 California

Profile Details

NPI number 1558474262
LBN Legal business name Kim, Clement Changbum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Dec 15th, 2021 - about 5 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 1558474262 NPPES
California MEDICAID 00A648210

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