| NPI | 1073726022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL K KIM Owner O PT Ometrist 916-682-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 10618T) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |