Phan, Kim

Phan, Kim is an individual health care provider with primary practice located at 4980 Barranca Pkwy Ste 202 , Irvine CA 92604-8653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Phan, Kim can be contacted via phone (949) 733-1336.

Contact Information

Primary practice address
4980 Barranca Pkwy Ste 202 Irvine CA 92604-8653
Phone: (949) 733-1336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X California

Profile Details

NPI number 1043934706
LBN Legal business name Phan, Kim
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2022
Last updated Sep 27th, 2022 - about 3 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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