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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013937747 | NPPES |
California | MEDICAID | SD0072270 |
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