Dong Shin
Optician
12258 Perris Blvd
Moreno Valley
, California 92557-7418
(909) 964-9524
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About
Features
Specialties
- Optician
Languages spoken
- English
Location
First Address
- Dong Shin
- 12258 Perris Blvd
- Moreno Valley, CA
- Zip : 92557-7418
- Phone : (909) 964-9524
Second Address
- Dong Shin
- 12258 Perris Blvd
- Moreno Valley, CA
- Zip : 92557-7418
- Phone : (909) 964-9524
Reviews
FAQs
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What is Dong Shin ’s gender?
Is Dong Shin a sole practitioner?
Is Dong Shin accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1800X | Optician | 70820 | CA |
National Provider Identifier
| NPI | 1164075198 |
|---|---|
| Provider Name | Dong Shin |
| First Address | Moreno Valley, CA 92557-7418 |
| Second Address | Moreno Valley, CA 92557-7418 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2019 |
| Last Update Date | 18/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 70820 | RDO (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.