Kim, Jieun

Kim, Jieun is an individual health care provider with primary practice located at 3200 Kearney St , Fremont CA 94538-2299. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kim, Jieun can be contacted via phone (510) 490-1222.

Contact Information

Primary practice address
3200 Kearney St Fremont CA 94538-2299
Phone: (510) 490-1222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F382424 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95005505 California

Profile Details

NPI number 1386084333
LBN Legal business name Kim, Jieun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2013
Last updated Jul 11th, 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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