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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912944166 NPPES
California MEDICAID 00A702220

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