Shin, David Sung
Shin, David Sung is an sole proprietor health care provider with primary practice located at 15923 Bear Valley Rd Ste B100, Hesperia CA 92345-1762. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Low Vision Rehabilitation is his primary health care specialty. Shin, David Sung can be contacted via phone (909) 980-5552.Contact Information
Primary practice address
15923 Bear Valley Rd Ste B100
Hesperia CA 92345-1762
Phone: (909) 980-5552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12779T | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 12779T | California |
Profile Details
| NPI number | 1245372200 |
|---|---|
| LBN Legal business name | Shin, David Sung |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Sep 24th, 2019 - about 7 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 | 1245372200 | NPPES |
| California | MEDICAID | SD0127790 |
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