Organization
STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP INC
Active
Other names
Valley Laser Surgery Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
STEVENS YOUNG JUN KIM M.D. (SECRETARY AND TREASURER)
(209) 952-1189
Entity
Organization
Contact information
Practice address
36 W YOKUTS AVE, SUITE 3, STOCKTON, CA 95207-5713
(209) 952-1189
(209) 952-1174
Mailing address
36 W YOKUTS AVE, SUITE 3, STOCKTON, CA 95207-5713
(209) 952-1189
(209) 952-1174
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
G76813
CA
Other
Enumeration date
12/01/2006
Last updated
03/30/2009
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