Kim, Jiyeon

Kim, Jiyeon is an individual health care provider with primary practice located at 2160 S Waterman Ave Ste D , San Bernardino CA 92408-3746. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Kim, Jiyeon can be contacted via phone (909) 433-9911.

Contact Information

Primary practice address
2160 S Waterman Ave Ste D San Bernardino CA 92408-3746
Phone: (909) 433-9911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC 8676 California

Profile Details

NPI number 1215155759
LBN Legal business name Kim, Jiyeon
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2007
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215155759 NPPES
California Other AC 8676 ACUPUNTURIST

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