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Contact Information

EDWARD J KIM, PA
9888 GENESEE AVE
TRAUMA SERVICE #LJ601
LA JOLLA, CA92037
 Phone: 858-626-6362
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EDWARD J KIM · (Male)

NPI Number 1063870723
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/09/2016
Last updated 02/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 52796
Hospital affiliation(s)
  • SCRIPPS MEMORIAL HOSPITAL LA JOLLA - (Acute Care)
    9888 GENESEE AVENUE
    LA JOLLA, CA 92037
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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