Individual
DR. CAROLYN C KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
607 N CENTRAL AVE, SUITE 105, GLENDALE, CA 91203-1804
(818) 956-1010
(818) 543-6083
Mailing address
607 N CENTRAL AVE, GLENDALE, CA 91203
(818) 956-1010
(818) 543-6083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11404TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ75843Z
—
CA
Enumeration date
12/28/2005
Last updated
03/05/2024
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