Agnes Kim, OD Professional Corporation
Organization Active NPI Optometrist · South Gate, CA
NPI 1871316752 · NPPES record last updated Nov 7, 2024
Key facts
- NPI
- 1871316752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- AGNES KIM, OD PROFESSIONAL CORPORATION
- Practice address
- 4424 Tweedy Blvd
South Gate, CA 90280-6304 - Phone
- (323) 438-3520
- NPI assigned
- Nov 7, 2024
- Organization subpart
- No
Authorized official
- Name
- Cassandra Bredek
- Title
- Director
- Phone
- (623) 225-5537
National Provider Directory
Locations
4424 Tweedy Blvd
South Gate, CA 90280
Phone (323) 438-3520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
4424 Tweedy Blvd
South Gate, CA 90280-6304
Mailing address
530 S Main St Ste 600
Orange, CA 92868-4544
Other names
- LooksBrite Eye Center
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.