Organization
SALLY I. KIM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY INJA KIM M.D. (PRESIDENT)
(714) 562-5857
Entity
Organization
Contact information
Practice address
5972 BEACH BLVD, BUENA PARK, CA 90621-2024
(714) 562-5857
(714) 562-8717
Mailing address
5972 BEACH BLVD, BUENA PARK, CA 90621-2024
(714) 562-5857
(714) 562-8717
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G57460
CA
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
02/01/2008
Last updated
06/08/2020
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