Paul Kim Optometry Apple Valley A Professional Corporation
Optometrist in Apple Valley, CA. Organization (NPI-2).
NPI number1750109567
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1750109567
- Entity type
- Organization (NPI-2)
- Legal business name
- Paul Kim Optometry Apple Valley A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Sep 30, 2024
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Apple Valley Family Eye Care Optometry (Other Name)
Practice location
19071 Bear Valley Rd Ste 3Apple Valley, CA 92308-2718
Phone 760-452-3990
Mailing address
19071 Bear Valley Rd Ste 3Apple Valley, CA 92308-2718
Phone 760-452-3990
Authorized official
Paul Kim
President
6309038988
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