Individual
DEBBIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12100 WILSHIRE BLVD STE 1275, LOS ANGELES, CA 90025-7143
(800) 485-9196
Mailing address
1302 RINDGE LN # B, REDONDO BEACH, CA 90278-4318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13838
CA
Other
Enumeration date
06/27/2011
Last updated
02/11/2022
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