Chan, Jim Chiyeung
Chan, Jim Chiyeung is an individual health care provider with primary practice located at 1021 S Baldwin Ave , Arcadia CA 91007-7235. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Chan, Jim Chiyeung can be contacted via phone (626) 821-9722.Contact Information
Primary practice address
1021 S Baldwin Ave
Arcadia CA 91007-7235
Phone: (626) 821-9722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 9872T | California |
Profile Details
| NPI number | 1932247855 |
|---|---|
| LBN Legal business name | Chan, Jim Chiyeung |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Aug 8th, 2008 - 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 | 1932247855 | NPPES |
| California | MEDICAID | SD0098720 |
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