# GRIFFIN & REED A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J Robert Griffin Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487707667
- **Authorized official:** DR. KWANG S KIM M.D. (OWNER PRESIDENT)
- **Authorized official phone:** (916) 483-2525

## Contact information

- **Practice address:** 651 FULTON AVE, SACRAMENTO, CA 95825-4813
- **Practice address phone:** (916) 483-2525
- **Practice address fax:** (916) 483-2636
- **Mailing address:** 651 FULTON AVE, SACRAMENTO, CA 95825-4813
- **Mailing address phone:** (916) 483-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 12003T | CA | — |
| 152WC0802X | Corneal and Contact Management Optometrist | 7526T | CA | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | A068743 | CA | — |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | A91190 | CA | — |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | G53735 | CA | — |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 12/16/2022