Kim, Lily H

Kim, Lily H is an individual health care provider with primary practice located at 2366 El Camino Real Ste 5, Santa Clara CA 95050-4070. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kim, Lily H can be contacted via phone (408) 246-5858.

Contact Information

Primary practice address
2366 El Camino Real Ste 5 Santa Clara CA 95050-4070
Phone: (408) 246-5858
Fax: (408) 246-5717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10347TPG California

Profile Details

NPI number 1780655464
LBN Legal business name Kim, Lily H
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 3rd, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780655464 NPPES
California MEDICAID SD0103470

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