Kim, Hetty Yi
Kim, Hetty Yi is an sole proprietor health care provider with primary practice located at 14914 Sherman Way , Van Nuys CA 91405-2113. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Kim, Hetty Yi can be contacted via phone (818) 787-2020.Contact Information
Primary practice address
14914 Sherman Way
Van Nuys CA 91405-2113
Phone: (818) 787-2020
Fax: (818) 787-8652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12390T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 12390T | California |
Profile Details
| NPI number | 1720115850 |
|---|---|
| LBN Legal business name | Kim, Hetty Yi |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Feb 11th, 2022 - about 3 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 | 1720115850 | NPPES |
| California | Other | OPT12390T | OPTOM LICENSE |
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