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Dr. Sandy Kim, O.D.

Optometrist in La Canada, CA. Individual provider (NPI-1).

NPI number1992974653
StatusActive
Last updated in NPPESFeb 27, 2008

Details

NPI
1992974653
Entity type
Individual (NPI-1)
Name
Dr. Sandy Kim
Credential
O.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 27, 2008
Last updated
Feb 27, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist10821TCAYes

Practice location

1920 Orchard Ln
La Canada, CA 91011-1544

Phone 818-720-1548 · Fax 213-381-7447

Mailing address

1920 Orchard Ln
La Canada, CA 91011-1544

Phone 818-720-1548 · Fax 213-381-7447

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in La Canada, CA

All 7 Optometrist providers in La Canada · All 284 providers in La Canada

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