Kim, Young Sun
Kim, Young Sun is an individual health care provider with primary practice located at 3183 Wilshire Blvd Ste 115 , Los Angeles CA 90010-1279. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kim, Young Sun can be contacted via phone (213) 738-0007.Contact Information
Primary practice address
3183 Wilshire Blvd Ste 115
Los Angeles CA 90010-1279
Phone: (213) 738-0007
Fax: (213) 738-0033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10134T | California |
Profile Details
| NPI number | 1184616567 |
|---|---|
| LBN Legal business name | Kim, Young Sun |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | May 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184616567 | NPPES |
| California | MEDICAID | SD0101340 |
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