Organization
AMY KIM OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAE KIM IKEFUGI OD (OWNER)
(310) 542-7070
Entity
Organization
Contact information
Practice address
21880 HAWTHORNE BLVD # 331A, TORRANCE, CA 90503-7031
(310) 542-7070
(310) 542-5215
Mailing address
21880 HAWTHORNE BLVD # 331A, TORRANCE, CA 90503-7031
(310) 542-7070
(310) 542-5215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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