Kim, Jessica

Kim, Jessica is an individual health care provider with primary practice located at 1125 E 16Th St Suite 4, Upland CA 91784-9179. She recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Other Service Providers / Acupuncturist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kim, Jessica can be contacted via phone (909) 297-3531.

Contact Information

Primary practice address
1125 E 16Th St Suite 4 Upland CA 91784-9179
Phone: (909) 297-3531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X DC 32286 California
Other Service Providers / Acupuncturist 171100000X AC 14601 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 55087 California

Profile Details

NPI number 1285908673
LBN Legal business name Kim, Jessica
Credentials PA-C, D.C., L.AC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Oct 26th, 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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