Kim, Eric E.

Kim, Eric E. is an sole proprietor health care provider with primary practice located at 4456 Manzanita Ave Suite# C, Clearlake CA 95422-7937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Eric E. can be contacted via phone (707) 994-9191.

Contact Information

Primary practice address
4456 Manzanita Ave Suite# C Clearlake CA 95422-7937
Phone: (707) 994-9191
Fax: (707) 994-9090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A64242 California

Profile Details

NPI number 1578660916
LBN Legal business name Kim, Eric E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2010 - about 16 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 1578660916 NPPES
California MEDICAID 00A642420
California Other 2113132

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