Kim, Jong Guhn

Kim, Jong Guhn is an sole proprietor health care provider with primary practice located at 414 S Prospectors Rd Suite B, Diamond Bar CA 91765-1615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, Jong Guhn can be contacted via phone (909) 860-0606.

Contact Information

Primary practice address
414 S Prospectors Rd Suite B Diamond Bar CA 91765-1615
Phone: (909) 860-0606
Fax: (909) 860-6161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 953677780 California

Profile Details

NPI number 1053419176
LBN Legal business name Kim, Jong Guhn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Dec 20th, 2017 - about 9 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 1053419176 NPPES
California MEDICAID 6169716

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