Gin, Victor

Gin, Victor is an individual health care provider with primary practice located at 39355 California St Suite 103 , Fremont CA 94538-1447. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gin, Victor can be contacted via phone (510) 744-2010.

Contact Information

Primary practice address
39355 California St Suite 103 Fremont CA 94538-1447
Fax: (510) 744-2015
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5527T California

Profile Details

NPI number 1972562098
LBN Legal business name Gin, Victor
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Nov 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972562098 NPPES
California MEDICAID GR0022890

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