Kim, Carolyn C
Kim, Carolyn C is an individual health care provider with primary practice located at 607 N Central Ave Suite 105, Glendale CA 91203-1804. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kim, Carolyn C can be contacted via phone (818) 956-1010.Contact Information
Primary practice address
607 N Central Ave Suite 105
Glendale CA 91203-1804
Phone: (818) 956-1010
Fax: (818) 543-6083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11404TPA | California |
Profile Details
| NPI number | 1467439836 |
|---|---|
| LBN Legal business name | Kim, Carolyn C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Mar 5th, 2024 - about last year |
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 | 1467439836 | NPPES |
| California | MEDICAID | ZZZ75843Z |
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