Yoo-Bourgoin, Jean
Yoo-Bourgoin, Jean is an individual health care provider with primary practice located at 1835 Newport Blvd Ste E270, Costa Mesa CA 92627-5014. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Yoo-Bourgoin, Jean can be contacted via phone (949) 646-4949.Contact Information
Primary practice address
1835 Newport Blvd Ste E270
Costa Mesa CA 92627-5014
Phone: (949) 646-4949
Fax: (949) 646-2533
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 10185T | California |
Profile Details
NPI number | 1457495913 |
---|---|
LBN Legal business name | Yoo-Bourgoin, Jean |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2007 |
Last updated | Sep 19th, 2017 - about 8 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 | 1457495913 | NPPES |
California | Other | 1548472921 | GROUP NPI (TYPE 2) |
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