Individual
GRACE L. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 HEALTH SCIENCES RD, IRVINE, CA 92697-4375
(949) 824-2020
Mailing address
850 HEALTH SCIENCES RD, IRVINE, CA 92697-4375
(949) 824-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
136906
CA
390200000X
Student in an Organized Health Care Education/Training Program
MT199642
PA
Other
Enumeration date
06/09/2011
Last updated
12/15/2021
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