Kim, Sang Cheul

Kim, Sang Cheul is an sole proprietor health care provider with primary practice located at 3340 West Ball Rd #D, Anaheim CA 92804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, Sang Cheul can be contacted via phone (714) 827-0390.

Contact Information

Primary practice address
3340 West Ball Rd #D Anaheim CA 92804
Fax: (714) 827-5375
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C41227 California

Profile Details

NPI number 1205885217
LBN Legal business name Kim, Sang Cheul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Aug 3rd, 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 1205885217 NPPES
California MEDICAID 00C412271

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