MEDICARE: DR. SOMI KIM O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	12592T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760558126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOMI KIM O.D.

Provider Business Mailing Address
First Line	:	3053 W. OLYMPIC BLVD.
Second Line	:	SUITE 105
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2558
Country	:	US
Telephone Number	:	213-736-0066
Fax Number	:	213-736-5535

Provider Business Practice Location Address
First Line	:	3053 W. OLYMPIC BLVD.
Second Line	:	SUITE 105
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2558
Country	:	US
Telephone Number	:	213-736-0066
Fax Number	:	213-736-5535

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	08/14/2008

Similar Medicare Providers

1194892646 — KWEON Y YOO AC
Practice Location Address:

3053 W OLYMPIC BLVD STE 305
LOS ANGELES, CA
90006-2558

Practice Phone: 213-251-9911
Practice Fax: 213-380-3922

1922210392 — MR. SOONHO PARK ACUPUNCTURIST
Practice Location Address:

3053 W OLYMPIC BLVD , SUITE 308
LOS ANGELES, CA
90006-2558

Practice Phone: 213-384-7275
Practice Fax: 213-384-7275

1306003686 — SOMI KIM, O.D., INC.
Practice Location Address:

3053 W OLYMPIC BLVD STE 105
LOS ANGELES, CA
90006-2558

Practice Phone: 213-736-0066
Practice Fax: 213-736-5535

1962651182 — DONG WON CHOI D.D.S.
Practice Location Address:

3053 W OLYMPIC BLVD STE 306
LOS ANGELES, CA
90006-2558

Practice Phone: 213-386-6934
Practice Fax: 213-386-5056

1922259951 — JU HWAN MOON
Practice Location Address:

3053 W. OLYMPIC BL , SUITE308
LOS ANGELES, CA
90006-2558

Practice Phone: 213-388-8464
Practice Fax:

1811120595 — BMC ACUPUNCTURE CORPORATION
Practice Location Address:

3053 W OLYMPIC BLVD STE 305
LOS ANGELES, CA
90006-2558

Practice Phone: 213-251-9911
Practice Fax: 213-380-3922

Directions to “ DR. SOMI KIM O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.