Kim, Jooyeon

Kim, Jooyeon is an individual health care provider with primary practice located at 2730 Shadelands Dr Bldg 10 , Walnut Creek CA 94598-2538. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kim, Jooyeon can be contacted via phone (925) 266-8400.

Contact Information

Primary practice address
2730 Shadelands Dr Bldg 10 Walnut Creek CA 94598-2538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1871078477
LBN Legal business name Kim, Jooyeon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2018
Last updated Nov 5th, 2018 - about 8 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 1871078477 NPPES
Other W225688423-04 AETNA

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