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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720115850 NPPES
California Other OPT12390T OPTOM LICENSE

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