Soo Youn Kim Od INC

NPI #1053594846 in Chino, California

Provider Information

NPI Number: 1053594846
Entity Type: Organization
Organization Name: Soo Youn Kim Od INC
Subpart: Yes (part of a larger organization)
Parent Organization: ZZZ25706Z
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 14, 2007
Last Updated: Jan 23, 2009

Practice Location

Address: 14147 PIPELINE AVE
City: Chino
State: California
ZIP Code: 91710-5618
Phone: (909) 628-0300

Authorized Official

Name: SOO YOUN KIM, O.D
Title: OWNER
Phone: (909) 628-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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