Kim, Jiyeon
Kim, Jiyeon is an individual health care provider with primary practice located at 4968 Booth Cir Suite 106, Irvine CA 92604-3360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Jiyeon can be contacted via phone (949) 387-4900.Contact Information
Primary practice address
4968 Booth Cir Suite 106
Irvine CA 92604-3360
Phone: (949) 387-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101256204 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C144212 | California |
Profile Details
| NPI number | 1922206135 |
|---|---|
| LBN Legal business name | Kim, Jiyeon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Mar 2nd, 2022 - about 4 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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