Kim, David S

Kim, David S is an individual health care provider with primary practice located at 2110 N Bellflower Blvd , Long Beach CA 90815-3126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, David S can be contacted via phone (562) 346-2222.

Contact Information

Primary practice address
2110 N Bellflower Blvd Long Beach CA 90815-3126
Phone: (562) 346-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A87971 California

Profile Details

NPI number 1528059607
LBN Legal business name Kim, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jan 12th, 2016 - about 10 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 1528059607 NPPES
California MEDICAID 00A879710

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