Yim, Teresa Ann

Yim, Teresa Ann is an individual health care provider with primary practice located at 1800 4Th St , Livermore CA 94550-4454. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Yim, Teresa Ann can be contacted via phone (925) 447-3883.

Contact Information

Primary practice address
1800 4Th St Livermore CA 94550-4454
Fax: (925) 447-2957
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 7953T California

Profile Details

NPI number 1003969650
LBN Legal business name Yim, Teresa Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 7th, 2023 - about 3 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 1003969650 NPPES
California MEDICAID SD0079530

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