Kim, Eugene L

Kim, Eugene L is an individual health care provider with primary practice located at 13652 Cantara St , Panorama City CA 91402-5423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Kim, Eugene L can be contacted via phone (703) 362-2029.

Contact Information

Primary practice address
13652 Cantara St Panorama City CA 91402-5423
Phone: (703) 362-2029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A125087 California

Profile Details

NPI number 1831350024
LBN Legal business name Kim, Eugene L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Feb 22nd, 2017 - about 8 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 1831350024 NPPES
Virginia MEDICAID 1831350024
Virginia Other 372703
Virginia Other P00789316
Virginia Other 541131672006

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