Huynh, Tuan Kim
Huynh, Tuan Kim is an individual health care provider with primary practice located at 1105 N State College Blvd , Anaheim CA 92806-2704. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Huynh, Tuan Kim can be contacted via phone (714) 817-8458.Contact Information
Primary practice address
1105 N State College Blvd
Anaheim CA 92806-2704
Phone: (714) 817-8458
Fax: (714) 817-9178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10336T | California |
Profile Details
| NPI number | 1063561512 |
|---|---|
| LBN Legal business name | Huynh, Tuan Kim |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Oct 16th, 2009 - about 15 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 | 1063561512 | NPPES |
| California | MEDICAID | SD0103360 |
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