Individual
MR. CHRIS Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
208 VINTAGE WAY STE K21, NOVATO, CA 94945-5016
(415) 897-3377
(415) 897-5722
Mailing address
4756 WINDING CREEK AVE, SANTA ROSA, CA 95409-3436
(707) 292-5652
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SLD1717
CA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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