| NPI | 1710254776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE J KIM Optometrist 714-287-7027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010424) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2022-02-11 |