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BRIDGEPORT MEDICAL CLINIC PLLC

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Company Details

Legal Name: BRIDGEPORT MEDICAL CLINIC PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 18th 2008
Expiration date: 30 Sep 2026
UBI Number: 602 865 423
ZIP code: 98003
City: Federal Way
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 152 S 295TH PL, FEDERAL WAY, WA, 98003-3659, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $9,831

Contact Details

E-Mail: BOKIM0309@YAHOO.COM
Phone Number: +1 253-588-0370

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
BRIDGEPORT MEDICAL CLINIC PLLC Registered Agent

Key Officers & Management

Name Role
BO RIN KIM Governing Person
DENNIS KIM Governing Person

National Provider Identifier

NPI Number:
1982855995
Certification Date:
2023-05-03

Authorized Person:

Name:
DR. DENNIS JOOYOUNG KIM
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2535884986

Form 5500 Series

Employer Identification Number (EIN):
263383594
Plan Year:
2023
Number Of Participants:
2
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
BO KIM(Plan administrator) BO KIM(Employer/plan sponsor)
Plan Year:
2022
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
BO-RIN KIM(Plan administrator) BO-RIN KIM(Employer/plan sponsor)
Plan Year:
2021
Number Of Participants:
2
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
BO KIM(Plan administrator) BO KIM(Employer/plan sponsor)
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