Lum, Randall T.
Lum, Randall T. is an sole proprietor health care provider with primary practice located at 2278 Westborough Blvd Ste 204 , South San Francisco CA 94080-5438. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lum, Randall T. can be contacted via phone (650) 589-7198.Contact Information
Primary practice address
2278 Westborough Blvd Ste 204
South San Francisco CA 94080-5438
Phone: (650) 589-7198
Fax: (650) 589-1482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | CA10139T | California |
Profile Details
| NPI number | 1679628010 |
|---|---|
| LBN Legal business name | Lum, Randall T. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Feb 22nd, 2016 - about 9 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 | 1679628010 | NPPES |
| California | Other | SD0101490 | MEDICARE |
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