Chan, Jim Chiyeung

Chan, Jim Chiyeung is an individual health care provider with primary practice located at 1021 S Baldwin Ave , Arcadia CA 91007-7235. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Chan, Jim Chiyeung can be contacted via phone (626) 821-9722.

Contact Information

Primary practice address
1021 S Baldwin Ave Arcadia CA 91007-7235
Phone: (626) 821-9722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 9872T California

Profile Details

NPI number 1932247855
LBN Legal business name Chan, Jim Chiyeung
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Aug 8th, 2008 - about 16 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 1932247855 NPPES
California MEDICAID SD0098720

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