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DR. MICHELLE KIM OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1457328825
Individual Registrant:DR. MICHELLE KIM OD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2027 SAN ELIJO AVE STE 2027 CARDIFF, CA 92007-1726 US
Tel: 760-452-2895 Fax: 760-452-2898
Tel: 760-452-2895 Fax: 760-452-2898
Contact information for business:
2027 SAN ELIJO AVE STE 2027 CARDIFF, CA 92007-1726 US
Tel: 760-452-2895 Fax: 760-452-2898
Tel: 760-452-2895 Fax: 760-452-2898
Registration Information:
NPI: 1457328825
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CA | 11566 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
