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NPI Code Detail

MEDICARE: ZIN MAY YI MIN OD INC

MEDICARE: ZIN MAY YI MIN OD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1861116204
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZIN MAY YI MIN OD INC
Provider Business Mailing Address
First Line : 1632 PUENTE AVE
Second Line :
City : BALDWIN PARK
State : CA
Zip : 91706-5952
Country : US
Telephone Number : 626-679-3413
Fax Number :
Provider Business Practice Location Address
First Line : 1632 PUENTE AVE
Second Line :
City : BALDWIN PARK
State : CA
Zip : 91706-5952
Country : US
Telephone Number : 626-679-3413
Fax Number :
Authorized Official
Title or Position : OWNER/AUTHORIZED OFFICIAL
Name : ZIN MIN
Credential : OD
Telephone Number : 626-679-3413
Provider Enumeration Date : 09/29/2022
Last Update Date : 09/29/2022

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