Thein, Diana Khaw
Thein, Diana Khaw is an sole proprietor health care provider with primary practice located at 24692 Del Prado Suite B, Dana Point CA 92629-3841. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Thein, Diana Khaw can be contacted via phone (949) 661-8884.Contact Information
Primary practice address
24692 Del Prado Suite B
Dana Point CA 92629-3841
Phone: (949) 661-8884
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 10426T | California |
Profile Details
NPI number | 1811089485 |
---|---|
LBN Legal business name | Thein, Diana Khaw |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 29th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1811089485 | NPPES |
California | MEDICAID | SD0104260 |
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