Kk0719 LLC

NPI #1538973987 in Duarte, California

Provider Information

NPI Number: 1538973987
Entity Type: Organization
Organization Name: Kk0719 LLC
Primary Specialty: Ophthalmology
Enumeration Date: Feb 5, 2025
Last Updated: Feb 18, 2025

Practice Location

Address: 1854 BUSINESS CENTER DR
City: Duarte
State: California
ZIP Code: 91010-2901
Phone: (626) 521-5600

Authorized Official

Name: KELLY KIM
Title: CEO
Phone: (213) 272-4436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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