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DR. MICHELLE KIM OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1457328825

Individual Registrant:
DR. MICHELLE  KIM OD
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

Contact information for business:
2027 SAN ELIJO AVE STE 2027  CARDIFF, CA 92007-1726 US
Tel: 760-452-2895  Fax: 760-452-2898

Registration Information:
NPI: 1457328825
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA11566

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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