Individual
DR. DIANA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2051 GALLERIA AT TYLER, RIVERSIDE, CA 92503-4143
(951) 352-1090
(951) 352-1195
Mailing address
201 W BROADWAY, #213, ANAHEIM, CA 92805-3879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15101 TLG
CA
Other
Enumeration date
09/17/2014
Last updated
10/28/2014
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