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CERRITOS EYE MEDICAL CENTER INC. NPI 1598792889


NPI Information

NPI: 1598792889
Provider Name: CERRITOS EYE MEDICAL CENTER, INC.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
11829 SOUTH ST
SUITE 202
CERRITOS, CA
ZIP 90703
Phone: (562) 402-4720
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CERRITOS EYE MEDICAL CENTER, INC. is an ophthalmology in Cerritos, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. CERRITOS EYE MEDICAL CENTER, INC. NPI is 1598792889. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11829 SOUTH ST
SUITE 202
CERRITOS, CA
ZIP 90703-828
Phone: (562) 402-4720
Fax: (562) 402-9231

The provider's authorized official is Tae Sun Kim .
The authorized official title is Owner/president and has the following contact phone number (562) 402-4720.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 11/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyA87753CALIFORNIANo
2207W00000XOphthalmologyG96402CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F96402MEDICARE UPINCALIFORNIA
200A877530MEDICAIDCALIFORNIA
3GR0091370MEDICAIDCALIFORNIA
4WA87753COTHERCALIFORNIAMEDICARE PTAN
5H66378MEDICARE UPINCALIFORNIA
6W15275MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
7W15275AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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