Kim, Shung S.

Kim, Shung S. is an individual health care provider with primary practice located at 937 W Huntington Dr , Monrovia CA 91016-3111. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kim, Shung S. can be contacted via phone (626) 357-0408.

Contact Information

Primary practice address
937 W Huntington Dr Monrovia CA 91016-3111
Phone: (626) 357-0408
Fax: (626) 357-6768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10499T California

Profile Details

NPI number 1669446381
LBN Legal business name Kim, Shung S.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669446381 NPPES
California MEDICAID SD0104991

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