Nguyen, Kim Nga

Nguyen, Kim Nga is an individual health care provider with primary practice located at 2461 Santa Monica Blvd Ste 108, Santa Monica CA 90404-2138. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Nguyen, Kim Nga can be contacted via phone (866) 487-7621.

Contact Information

Primary practice address
2461 Santa Monica Blvd Ste 108 Santa Monica CA 90404-2138
Phone: (866) 487-7621
Fax: (310) 388-3029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200300269 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD417883 Pennsylvania

Profile Details

NPI number 1689628331
LBN Legal business name Nguyen, Kim Nga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 6th, 2008 - about 18 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 1689628331 NPPES
Pennsylvania MEDICAID 1020226630001
Pennsylvania Other KN4219572
Pennsylvania MEDICAID 2793240

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