Koh, Heejung
Koh, Heejung is an sole proprietor health care provider with primary practice located at 18337 Colima Rd , Rowland Heights CA 91748-2762. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Koh, Heejung can be contacted via phone (626) 854-1131.Contact Information
Primary practice address
18337 Colima Rd
Rowland Heights CA 91748-2762
Phone: (626) 854-1131
Fax: (626) 854-1727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12818 TPA | California |
Profile Details
| NPI number | 1619035870 |
|---|---|
| LBN Legal business name | Koh, Heejung |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Dec 5th, 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 | 1619035870 | NPPES |
| California | MEDICAID | SD0128180 |
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