Shibayama, Vivian Phan
Shibayama, Vivian Phan is an individual health care provider with primary practice located at 100 Stein Plz , Los Angeles CA 90095-7065. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Shibayama, Vivian Phan can be contacted via phone (310) 825-5000.Contact Information
Primary practice address
100 Stein Plz
Los Angeles CA 90095-7065
Phone: (310) 825-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 14290 | California |
Profile Details
| NPI number | 1689954695 |
|---|---|
| LBN Legal business name | Shibayama, Vivian Phan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2011 |
| Last updated | Aug 31st, 2015 - about 9 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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