Kim, Heebok

Kim, Heebok is an individual health care provider with primary practice located at 1998 N Arrowhead Ave , San Bernardino CA 92405-4116. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kim, Heebok can be contacted via phone (909) 882-0988.

Contact Information

Primary practice address
1998 N Arrowhead Ave San Bernardino CA 92405-4116
Phone: (909) 882-0988
Fax: (909) 886-1301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C42386 California

Profile Details

NPI number 1730260910
LBN Legal business name Kim, Heebok
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 7th, 2023 - about 3 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 1730260910 NPPES
California MEDICAID 00C152370

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