Kim, Sara Soohee
Kim, Sara Soohee is an individual health care provider with primary practice located at 11 Technology Dr , Irvine CA 92618-2302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kim, Sara Soohee can be contacted via phone (855) 206-6764.Contact Information
Primary practice address
11 Technology Dr
Irvine CA 92618-2302
Phone: (855) 206-6764
Fax: (949) 923-3575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A70222 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A70222 | California |
Profile Details
| NPI number | 1912944166 |
|---|---|
| LBN Legal business name | Kim, Sara Soohee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Nov 23rd, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912944166 | NPPES |
| California | MEDICAID | 00A702220 |
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