Soo Youn Kim Od Inc in Chino - Eyewear Supplier
Soo Youn Kim Od Inc - NPI 1053594846
Soo Youn Kim Od Inc is a Eyewear Supplier in Chino, California. Soo Youn Kim Od Inc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Soo Youn Kim Od Inc is 1053594846. The last update date is 2009-01-23.
Soo Youn Kim Od Inc's current location address is 14147 Pipeline Ave, Chino, California. You can contact this provider via phone number 9096280300. The mailing address for Soo Youn Kim Od Inc is 14147 Pipeline Ave, Chino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Soo Youn Kim Od Inc |
|---|---|
| Address | 14147 Pipeline Ave, Chino, California |
| Phone Number | 9096280300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kim Youn Soo |
| Credentials | O.D |
| Telephone Number | 9096280300 |
NPI Number Detail
| NPI Number | 1053594846 |
|---|---|
| Provider Enumeration Date | 2007-12-14 |
| Last Updated Date | 2009-01-23 |
Provider Mailing Address Detail
| Address | 14147 Pipeline Ave |
|---|---|
| City | Chino |
| State | California (CA) |
| Post Code | 917105618 |
| Phone Number | 9096280300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | OPT10349TPA |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125235 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Soo Youn Kim Od Inc by the Centers for Medicare & Medicaid Services?
The Soo Youn Kim Od Inc has been issued the NPI (National Provider Identifier) 1053594846, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Soo Youn Kim Od Inc?
The Soo Youn Kim Od Inc is physically situated at 14147 Pipeline Ave, in the city of Chino, state of CA, with the postal code 917105618.
What is Soo Youn Kim Od Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Soo Youn Kim Od Inc's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053594846 to Soo Youn Kim Od Inc?
The Soo Youn Kim Od Inc received its 1053594846 assignment from the Centers for Medicare & Medicaid Services on 2007-12-14.
When was the information related to Soo Youn Kim Od Inc most recently updated or refreshed?
The details pertaining to the Soo Youn Kim Od Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-01-23.
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