# STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Laser Surgery Center, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669540118
- **Authorized official:** STEVENS YOUNG JUN KIM M.D. (SECRETARY AND TREASURER)
- **Authorized official phone:** (209) 952-1189

## Contact information

- **Practice address:** 36 W YOKUTS AVE, SUITE 3, STOCKTON, CA 95207-5713
- **Practice address phone:** (209) 952-1189
- **Practice address fax:** (209) 952-1174
- **Mailing address:** 36 W YOKUTS AVE, SUITE 3, STOCKTON, CA 95207-5713
- **Mailing address phone:** (209) 952-1189
- **Mailing address fax:** (209) 952-1174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | G76813 | CA | — |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 03/30/2009