Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 10783 | CA |
NPI | 1013340447 |
---|---|
Provider Name | Dr. Arthur Kim |
First Address | Temecula, CA 92591-4604 |
Second Address | Temecula, CA 92591-4604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2013 |
Last Update Date | 24/07/2017 |