Kim, Walter S

Kim, Walter S is an sole proprietor health care provider with primary practice located at 237 N Western Ave , Los Angeles CA 90004-4107. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kim, Walter S can be contacted via phone (323) 469-1929.

Contact Information

Primary practice address
237 N Western Ave Los Angeles CA 90004-4107
Fax: (323) 469-1920

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT-6975T California

Profile Details

NPI number 1821098096
LBN Legal business name Kim, Walter S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Sep 18th, 2008 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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All States NPI 1821098096 NPPES
California MEDICAID SD0069750

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