Han, Betty Bo Young

Han, Betty Bo Young is an individual health care provider with primary practice located at 27100 Eucalyptus Ave , Moreno Valley CA 92555-4522. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Han, Betty Bo Young can be contacted via phone (951) 247-2365.

Contact Information

Primary practice address
27100 Eucalyptus Ave Moreno Valley CA 92555-4522
Phone: (951) 247-2365
Fax: (951) 247-2350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11841 California

Profile Details

NPI number 1629023270
LBN Legal business name Han, Betty Bo Young
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Aug 13th, 2014 - about 10 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 1629023270 NPPES
California MEDICAID SD0118410

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