Yi, Kwon Chae
Yi, Kwon Chae is an sole proprietor health care provider with primary practice located at 2550 Beverly Boulevard Suite 201, Los Angeles CA 90057-1035. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Yi, Kwon Chae can be contacted via phone (213) 388-5847.Contact Information
Primary practice address
2550 Beverly Boulevard Suite 201
Los Angeles CA 90057-1035
Phone: (213) 388-5847
Fax: (213) 388-5848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1902910235 |
|---|---|
| LBN Legal business name | Yi, Kwon Chae |
| Credentials | CERTIFIED PROSTHETIS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 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 | 1902910235 | NPPES |
| California | Other | ZZZ655562 | BLUE SHIELD OF CALIFORNIA |
| California | MEDICAID | XB0023570 | BLUE SHIELD OF CALIFORNIA |
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