Kim, Vivian Y

Kim, Vivian Y is an individual health care provider with primary practice located at 7145 N Chestnut Ave , Fresno CA 93720-0359. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Kim, Vivian Y can be contacted via phone (559) 702-1212.

Contact Information

Primary practice address
7145 N Chestnut Ave Fresno CA 93720-0359
Phone: (559) 702-1212
Fax: (209) 546-6064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A65668 California
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X A65668 California

Profile Details

NPI number 1669560041
LBN Legal business name Kim, Vivian Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jan 8th, 2018 - about 6 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 1669560041 NPPES
California Other 00A656680 MEDICARE PTAN

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