Kim, John Shin

Kim, John Shin is an sole proprietor health care provider with primary practice located at 11911 Artesia Blvd #101, Cerritos CA 90701-4070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, John Shin can be contacted via phone (562) 402-7622.

Contact Information

Primary practice address
11911 Artesia Blvd #101 Cerritos CA 90701-4070
Phone: (562) 402-7622
Fax: (562) 402-2452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G66684 California

Profile Details

NPI number 1003991159
LBN Legal business name Kim, John Shin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Feb 18th, 2010 - about 16 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 1003991159 NPPES
California MEDICAID 00G666841

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