Individual
MINSOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 PAULARINO AVE, COSTA MESA, CA 92626-3033
(510) 847-5252
Mailing address
10906 WALNUT ST, LOS ALAMITOS, CA 90720-2381
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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