Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MINSOO KIM
Active Sole ProprietorMINSOO KIM is a Optician, Dispensing healthcare provider located in COSTA MESA, California. NPI 1174297360 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · COSTA MESA, CA
Registration Details
- NPI Number
- 1174297360
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2021 (5.0649435667417 yrs)
- Last Updated
- Aug 2, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
665 PAULARINO AVECOSTA MESA, CA, 926263033Browse CA providers · Browse ZIP 92626
- Phone
- 5108475252
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in COSTA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| MISS TIERRA ILICIA LEIGH GRUBBS | ABOC, FNAO | 1164889424 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.