Individual
CRYSTAL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21600 HAWTHORNE BLVD, TORRANCE, CA 90503-5710
(310) 214-0409
Mailing address
21600 HAWTHORNE BLVD, TORRANCE, CA 90503-5710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33716
CA
Other
Enumeration date
06/27/2017
Last updated
03/17/2018
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