Kim, Daniel

Kim, Daniel is an individual health care provider with primary practice located at 2975 Sycamore Dr , Simi Valley CA 93065-1201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kim, Daniel can be contacted via phone (805) 527-2462.

Contact Information

Primary practice address
2975 Sycamore Dr Simi Valley CA 93065-1201
Phone: (805) 527-2462
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A29336 California

Profile Details

NPI number 1013968957
LBN Legal business name Kim, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Feb 1st, 2008 - about 18 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 1013968957 NPPES
California MEDICAID 00A293360

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