Bo Young Han Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11841T Issued in CA

Legal business name

BO YOUNG HAN INC

Practice address

27100 Eucalyptus Ave
Moreno Valley, CA 92555-4522

Phone

(951) 247-2365

Fax

(951) 247-2350

NPI assigned

Apr 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bo Young Han

Title

President

Phone

(714) 235-9017

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Betty Bo Young Han, OD

  • Optometrist
  • Moreno Valley, CA
  • NPI 1629023270
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1730470428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25186 FOREST ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928833076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 EUCALYPTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554522",
            "telephone_number": "951-247-2365",
            "fax_number": "951-247-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BO YOUNG HAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "BO YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-235-9017"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11841T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blooming Pathways Behavioral Health Group LLC
• Blossom Home Care LLC (Blossom Home Care)
• Cheri Lynn Blucher, R.D.
• Bo Ram Um DDS, Inc (Smile MV Dental)
• Bo Ram Um DDS, Inc.
• Mary Nashat Boctor, PHARMACIST
• Jacob Scott Boele
• Joshua Elwyn Boice, MS, ATC
• Carmelina Bojorquez
• Tamia Bolden

• Optometrist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.