Individual
TAI HO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
3500 W 6TH ST STE 122, LOS ANGELES, CA 90020-5801
(213) 427-0707
Mailing address
3500 W 6TH ST STE 122, LOS ANGELES, CA 90020-5801
(213) 427-0707
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
159463
CA
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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