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Search › California › 152W00000X

Connie Kim, O.D

NPI 1073800686 · on the registry since 2011 · sole proprietor

Practice

Address
6898 Raleigh Rd.
San Jose, CA 95119
Phone
(408) 908-7944
Fax
(408) 908-7945
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152WV0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California