Im, Michael
Im, Michael is an sole proprietor health care provider with primary practice located at 850 E Latham Ave 101, Hemet CA 92543-4391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Im, Michael can be contacted via phone (951) 929-9688.Contact Information
Primary practice address
850 E Latham Ave 101
Hemet CA 92543-4391
Phone: (951) 929-9688
Fax: (951) 766-1269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A119769 | California |
Profile Details
| NPI number | 1710154794 |
|---|---|
| LBN Legal business name | Im, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2008 |
| Last updated | Jul 3rd, 2013 - about 11 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 | 1710154794 | NPPES |
| California | Other | A119769 | STATE |
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