Kim, Dae-Choong

Kim, Dae-Choong is an sole proprietor health care provider with primary practice located at 8862 Garden Grove Blvd 102, Garden Grove CA 92844-1262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kim, Dae-Choong can be contacted via phone (714) 539-9963.

Contact Information

Primary practice address
8862 Garden Grove Blvd 102 Garden Grove CA 92844-1262
Phone: (714) 539-9963
Fax: (714) 539-9752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C43192 California

Profile Details

NPI number 1558326694
LBN Legal business name Kim, Dae-Choong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Oct 2nd, 2017 - about 9 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 1558326694 NPPES
California MEDICAID 00C431920

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