Individual
DR. JACK SON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5832 BEACH BLVD UNIT 109, BUENA PARK, CA 90621-5500
(714) 228-1888
(714) 676-8308
Mailing address
6495 SAIPAN ST, CYPRESS, CA 90630-5620
(626) 388-7391
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13848
CA
Other
Enumeration date
10/13/2009
Last updated
01/09/2025
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