Kim, Ronald C

Kim, Ronald C is an individual health care provider with primary practice located at 5901 East Seventh Street Dvamc (05/113Np), Long Beach CA 90822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuropathology, which is considered as his primary health care specialty. Kim, Ronald C can be contacted via phone (562) 826-5513.

Contact Information

Primary practice address
5901 East Seventh Street Dvamc (05/113Np) Long Beach CA 90822
Phone: (562) 826-5513
Fax: (562) 826-5623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X G13550 California

Profile Details

NPI number 1003915661
LBN Legal business name Kim, Ronald C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated May 16th, 2008 - about 18 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 1003915661 NPPES
California Other WG13550A MEDICARE PTAN
California Other 00G135500 MEDICARE PTAN
California MEDICAID 00G135500 MEDICARE PTAN
California Other 220027744 MEDICARE PTAN

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