Kim, Jeannie S

Kim, Jeannie S is an sole proprietor health care provider with primary practice located at 13510 Meganwood Pl , La Mirada CA 90638-6524. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kim, Jeannie S can be contacted via phone (562) 943-1616.

Contact Information

Primary practice address
13510 Meganwood Pl La Mirada CA 90638-6524
Phone: (562) 943-1616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1164691226
LBN Legal business name Kim, Jeannie S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2008
Last updated Feb 22nd, 2008 - about 18 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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