Cam, Jimmy R
Cam, Jimmy R is an sole proprietor health care provider with primary practice located at 1425 W Artesia Blvd Suite # 26, Gardena CA 90248-3231. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Contact Lens Fitter is his primary health care specialty. Cam, Jimmy R can be contacted via phone (310) 323-0884.Contact Information
Primary practice address
1425 W Artesia Blvd Suite # 26
Gardena CA 90248-3231
Phone: (310) 323-0884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Contact Lens Fitter | 156FC0801X | 930 | California |
| Eye and Vision Services Providers / Optician | 156FX1800X | D6907 | California |
Profile Details
| NPI number | 1306963889 |
|---|---|
| LBN Legal business name | Cam, Jimmy R |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306963889 | NPPES |
| California | MEDICAID | DX0037630 | |
| California | Other | JO18693 | |
| California | Other | 1399 | |
| California | Other | 112600 |
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