Kim, Seung Nam
Kim, Seung Nam is an individual health care provider with primary practice located at 475W Fallbrook Ave , Clovis CA 93611-7165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, Seung Nam can be contacted via phone (559) 900-4951.Contact Information
Primary practice address
475W Fallbrook Ave
Clovis CA 93611-7165
Phone: (559) 900-4951
Fax: (866) 610-3752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A32168 | California |
Profile Details
| NPI number | 1134112154 |
|---|---|
| LBN Legal business name | Kim, Seung Nam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 18th, 2015 - about 11 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 | 1134112154 | NPPES |
| California | MEDICAID | 00A321680 |
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