Individual
SAMUEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4281 W 3RD ST, LOS ANGELES, CA 90020-3448
(213) 383-0383
(213) 383-3858
Mailing address
4281 W 3RD ST, LOS ANGELES, CA 90020-3448
(213) 383-0383
(213) 383-3858
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL5837
CA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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