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YOUNG S KIM
NPI 1114802659
Eyewear Supplier in San Diego, CA

Active since August 06, 2025
4619 CONVOY ST # A6, SAN DIEGO, CA 92111(858) 880-8945 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Young S Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUNG S KIM (NPI 1114802659) is an individual eyewear supplier provider in San Diego, California, licensed in California (RDO70566) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1114802659
Entity TypeIndividualMale
Primary Taxonomy332H00000X
Provider Legal NameYOUNG S KIM
Location Address4619 CONVOY ST # A6San Diego, CA 92111-2318
Mailing Address4619 Convoy St # A6San Diego, CA 92111-2318 · (858) 880-8945
Phone(858) 880-8945
Sole ProprietorYes
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1114802659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in CA · RDO70566
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
4619 CONVOY ST # A6, San Diego, CA 92111
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Young Kim's NPI number?

The NPI number for Young Kim is 1114802659. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Young Kim located?

Young Kim practices at 4619 Convoy St # A6, San Diego, CA 92111. The listed phone number is (858) 880-8945.

What is Young Kim's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Young Kim was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.