Golden San Gabriel Optometric Vision Center

LBN: Golden San Gabriel Optometric Vision Center
Golden San Gabriel Optometric Vision Center is an health care organization with primary practice located at 140 W Valley Blvd #115, San Gabriel CA 91776-3760. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Golden San Gabriel Optometric Vision Center can be contacted via phone (626) 288-8023, or through Shin, Jiyen via phone (626) 288-8023.

Contact Information

Primary practice address
140 W Valley Blvd #115 San Gabriel CA 91776-3760
Phone: (626) 288-8023
Fax: (626) 288-8326
Website:
Map and Directions
Authorized official contact:
Name: Shin, Jiyen Doctor of Optometry (OD)
Phone: (626) 288-8023

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9727 California

Profile Details

NPI number 1740216936
LBN Legal business name Golden San Gabriel Optometric Vision Center
DBA Doing business as
Authorized official Shin, Jiyen Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 27th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740216936 NPPES
California MEDICAID GSD001490

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