Im, Carol Y
Im, Carol Y is an individual health care provider with primary practice located at 380 Civic Dr Suite 100, Pleasant Hill CA 94523-1988. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Im, Carol Y can be contacted via phone (925) 676-1700.Contact Information
Primary practice address
380 Civic Dr Suite 100
Pleasant Hill CA 94523-1988
Phone: (925) 676-1700
Fax: (925) 676-1792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A80693 | California |
Profile Details
| NPI number | 1518987825 |
|---|---|
| LBN Legal business name | Im, Carol Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Nov 22nd, 2016 - about 10 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 | 1518987825 | NPPES |
| California | MEDICAID | 00A806930 |
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