Kim, Sung Jin

Kim, Sung Jin is an individual health care provider with primary practice located at 1706 W Orangethorpe Ave Ste F , Fullerton CA 92833-4556. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kim, Sung Jin can be contacted via phone (714) 475-1400.

Contact Information

Primary practice address
1706 W Orangethorpe Ave Ste F Fullerton CA 92833-4556
Phone: (714) 475-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 42303 California

Profile Details

NPI number 1861887747
LBN Legal business name Kim, Sung Jin
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated Apr 12th, 2022 - about 4 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 1861887747 NPPES
California MEDICAID 42303

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