Shim, Charles

Shim, Charles is an sole proprietor health care provider with primary practice located at 3288 E Anaheim St , Long Beach CA 90804-3818. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Shim, Charles can be contacted via phone (213) 219-7635.

Contact Information

Primary practice address
3288 E Anaheim St Long Beach CA 90804-3818
Phone: (213) 219-7635
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 56225 California
Dental Providers / Dentist 122300000X 56225 California

Profile Details

NPI number 1902006554
LBN Legal business name Shim, Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2007
Last updated Dec 2nd, 2014 - about 10 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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