Kim, Katherine
Kim, Katherine is an individual health care provider with primary practice located at 5169 Vista Del Amigo , Yorba Linda CA 92886-4651. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kim, Katherine can be contacted via phone (714) 701-0779.Contact Information
Primary practice address
5169 Vista Del Amigo
Yorba Linda CA 92886-4651
Phone: (714) 701-0779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10899T | California |
Profile Details
| NPI number | 1114033206 |
|---|---|
| LBN Legal business name | Kim, Katherine |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Sep 12th, 2007 - about 17 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 | 1114033206 | NPPES |
| California | MEDICAID | SD0108990 |
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