Jack Son Kim O.D.

NPI 1679808356 - Optometrist - 152W00000X

NPI Details
NPI 1679808356
Gender Male
Enumeration Date 10/13/2009
Last Updated 04/22/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
63 W ANGELA ST
PLEASANTON CA, 94566-7328, US
Phone (925) 456-4393
Fax
Business Location
63 W ANGELA ST
PLEASANTON CA, 94566-7328, US
Phone (626) 388-7391
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 13848
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According to our database, Dr. Jack Son Kim O.D. NPI is 1679808356, taxonomy code is 152W00000X and license number is 13848, license state is located at California. Jack Son Kim O.D. physically located at 63 W Angela St, Pleasanton CA, 94566-7328. NPI Number Jack Son Kim O.D. has the Individual type.

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1679808356 NPI number is provided on an as is basis without warranty of any kind. 1679808356 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Son Kim O.D. are for informational purposes only.