| Marina Optometry A Professional Corporation | |
|
588 Washington Blvd, Marina Del Rey, CA 90292-5421 | |
| (310) 577-6608 | |
| Not Available |
| Full Name | Marina Optometry A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 588 Washington Blvd, Marina Del Rey, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255010542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Paul S Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275654857 PECOS PAC ID: 0840606570 Enrollment ID: I20210304000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Optometry A Professional Corporation 249 Lockford, Irvine, CA 92602-0957 Ph: (630) 903-8988 | Marina Optometry A Professional Corporation 588 Washington Blvd, Marina Del Rey, CA 90292-5421 Ph: (310) 577-6608 |
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