YOUNG KIM

Eyewear Supplier

Active Individual
NPI: 1114802659

Practice Address

4619 CONVOY ST # A6
San Diego, CA 92111

Phone: (858) 880-8945

Specialties

Specialty Code Primary License
Eyewear Supplier 332H00000X Yes RDO70566 (CA)

Frequently Asked Questions

NPI 1114802659 is the National Provider Identifier for YOUNG KIM, a Eyewear Supplier provider located in San Diego, CA. This NPI was enumerated on August 6, 2025.
YOUNG KIM practices at 4619 CONVOY ST # A6, San Diego, CA 92111.

Quick Facts

NPI
1114802659
Type
Individual
Enumerated
Aug 6, 2025
Last Updated
Aug 6, 2025

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