Individual
JOANNA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
17055 GERMAIN ST, GRANADA HILLS, CA 91344-6213
(818) 441-4454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34892
CA
Other
Enumeration date
08/02/2021
Last updated
07/18/2022
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