Kim, Johnny

Kim, Johnny is an sole proprietor health care provider with primary practice located at 204 Hampton Drive , Venice CA 90291. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kim, Johnny can be contacted via phone (310) 396-6468.

Contact Information

Primary practice address
204 Hampton Drive Venice CA 90291
Phone: (310) 396-6468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 93241 California

Profile Details

NPI number 1568913820
LBN Legal business name Kim, Johnny
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2016
Last updated Aug 25th, 2021 - about 5 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.

Request for update

Popular Providers