Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEONG MOON KIM, OPTICIAN
Active Sole ProprietorJEONG MOON KIM, OPTICIAN is a Optician, Dispensing healthcare provider located in LA PALMA, California. NPI 1821634270 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · LA PALMA, CA
Registration Details
- NPI Number
- 1821634270
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2019 (6.6920440975883 yrs)
- Last Updated
- Nov 19, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
4945 LA PALMA AVELA PALMA, CA, 906232054Browse CA providers · Browse ZIP 90623
- Phone
- 5623480074
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.