MEDICARE: YANG E KIM

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	12576T	CA

General Provider Information

NPI Number	:	1316318397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YANG E KIM

Provider Business Mailing Address
First Line	:	11280 MERRITT ST
Second Line	:
City	:	CASTROVILLE
State	:	CA
Zip	:	95012-3421
Country	:	US
Telephone Number	:	831-633-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	11280 MERRITT ST
Second Line	:
City	:	CASTROVILLE
State	:	CA
Zip	:	95012-3421
Country	:	US
Telephone Number	:	831-633-2525
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. BRETT FREDERICKS
Credential	:	O.D.
Telephone Number	:	831-633-2525

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	10/15/2015

Similar Medicare Providers

1053395178 — RANDAL GREGORY JONES DC
Practice Location Address:

11282 MERRITT ST
CASTROVILLE, CA
95012-3421

Practice Phone: 831-633-4067
Practice Fax: 831-633-4070

1306102819 — DR. GREGORY TIMOTHY JONES D.C.
Practice Location Address:

11282 MERRITT ST
CASTROVILLE, CA
95012-3421

Practice Phone: 831-633-4067
Practice Fax: 831-633-4070

1902232432 — SUNSHINE GARVEY D.C.
Practice Location Address:

11282 MERRITT ST
CASTROVILLE, CA
95012-3421

Practice Phone: 831-633-4067
Practice Fax: 831-633-4070

1902232606 — CASTROVILLE CHIROPRACTIC CLINIC
Practice Location Address:

11282 MERRITT ST
CASTROVILLE, CA
95012-3421

Practice Phone: 831-633-4067
Practice Fax: 831-633-4070

1982019238 — YANG E KIM
Practice Location Address:

11280 MERRITT ST , A150
CASTROVILLE, CA
95012-3421

Practice Phone: 831-633-2525
Practice Fax:

1215807698 — COMMUNITY CONNECTIONS OF CA
Practice Location Address:

11420 COMMERCIAL PKWY STE C
CASTROVILLE, CA
95012-3214

Practice Phone: 831-737-9684
Practice Fax: 833-485-4855

Directions to “YANG E KIM ” 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.