Kim, Tae Gon
Kim, Tae Gon is an sole proprietor health care provider with primary practice located at 5301 Whittier Blvd , East Los Angeles CA 90022-4038. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Kim, Tae Gon can be contacted via phone (323) 715-3615.Contact Information
Primary practice address
5301 Whittier Blvd
East Los Angeles CA 90022-4038
Phone: (323) 715-3615
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC15772 | California |
Profile Details
| NPI number | 1538717939 |
|---|---|
| LBN Legal business name | Kim, Tae Gon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2019 |
| Last updated | Aug 28th, 2019 - about 7 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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