Kim, Jae Young

Kim, Jae Young is an individual health care provider with primary practice located at 16830 San Fernando Mission Blvd , Granada Hills CA 91344-4247. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kim, Jae Young can be contacted via phone (818) 831-5059.

Contact Information

Primary practice address
16830 San Fernando Mission Blvd Granada Hills CA 91344-4247
Phone: (818) 831-5059
Fax: (818) 832-6541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19825 Colorado
Pharmacy Service Providers / Pharmacist 183500000X 22534 North Carolina
Pharmacy Service Providers / Pharmacist 183500000X 71953 California

Profile Details

NPI number 1235473174
LBN Legal business name Kim, Jae Young
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Mar 14th, 2019 - about 7 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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