Kim, Warren Tackhoon

Kim, Warren Tackhoon is an individual health care provider with primary practice located at 1100 Van Ness Ave , San Francisco CA 94109-6978. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kim, Warren Tackhoon can be contacted via phone (415) 600-0528.

Contact Information

Primary practice address
1100 Van Ness Ave San Francisco CA 94109-6978
Phone: (415) 600-0528
Fax: (415) 369-1207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X A91921 California
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 893219 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A91921 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 893219 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A91921 California

Profile Details

NPI number 1063532778
LBN Legal business name Kim, Warren Tackhoon
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jan 11th, 2021 - about 5 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 1063532778 NPPES
California MEDICAID 1063532778
California Other A91921
California Other P01266715

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