Most Relevant Information
Provider Data
| NPI Number: | 1003532953 |
| Provider Name: | KIMBERLY PHUN |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 35339 |
Most Important Dates
| Enumeration Date: | 10/12/2022 |
| Last Updated: | 10/12/2022 |
Provider Practice Location
2300 W COMMONWEALTH AVE UNIT 120
ALHAMBRA
CA
918031301
Practice Location Phone/Fax
| Phone: | 6263201703 |
| Fax: |
Provider Mailing Location
2300 W COMMONWEALTH AVE UNIT 120
ALHAMBRA
CA
918031301
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |