Huang, Sumin Mark

Huang, Sumin Mark is an sole proprietor health care provider with primary practice located at 1909 N Waterman Ave Suite 3, San Bernardino CA 92404-4842. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Huang, Sumin Mark can be contacted via phone (909) 882-8883.

Contact Information

Primary practice address
1909 N Waterman Ave Suite 3 San Bernardino CA 92404-4842
Phone: (909) 882-8883
Fax: (909) 882-8810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7227T California

Profile Details

NPI number 1013937747
LBN Legal business name Huang, Sumin Mark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Aug 6th, 2015 - about 9 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 1013937747 NPPES
California MEDICAID SD0072270

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