Individual
JANE S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18582 MAIN ST, HUNTINGTON BEACH, CA 92648-1701
(714) 965-9696
Mailing address
18582 MAIN ST, HUNTINGTON BEACH, CA 92648-1701
(714) 965-9696
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
180788
CA
207W00000X
Ophthalmology Physician
4301501921
MI
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
180788
CA
Other
Enumeration date
03/29/2016
Last updated
01/12/2023
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