Kalina Ponsavanh Grimm, OD
Optometrist in San Francisco, CA. Individual provider (NPI-1).
NPI number1093324972
StatusActive
Last updated in NPPESJul 27, 2020
Details
- NPI
- 1093324972
- Entity type
- Individual (NPI-1)
- Name
- Kalina Ponsavanh Grimm
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2020
- Certification date
- Jul 27, 2020
- Last updated
- Jul 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 34588 | CA | Yes |
Practice location
4150 Clement StSan Francisco, CA 94121-1563
Phone 415-221-4810
Mailing address
4150 Clement StSan Francisco, CA 94121-1563
Phone 925-548-7033
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