What is Young Kim's NPI number?

Young Kim's National Provider Identifier (NPI) is 1114802659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Young Kim's specialty?

Young Kim is listed in the NPPES registry with a primary specialty of Eyewear Supplier (Suppliers).

Where is Young Kim located?

Young Kim's practice location on file with NPPES is 4619 Convoy St # A6, San Diego, CA 92111-2318.

What is Young Kim's phone number?

The practice phone number listed in the NPPES registry for Young Kim is (858) 880-8945.

Is Young Kim's NPI active?

Yes — Young Kim's NPI (1114802659) is active in the NPPES registry as of the last update on 2025-08-06.

IndividualActive

Young Kim

NPI 1114802659 · Eyewear Supplier · San Diego, CA

Young Kim is a Eyewear Supplier provider in San Diego, CA (NPI 1114802659).

Provider details

NPI number: 1114802659
Entity type: Individual
Primary specialty: Eyewear SupplierSuppliers
Sex: Male
Sole proprietor: Yes
License: RDO70566 (CA)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense RDO70566 (CA)
Suppliers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4619 Convoy St # A6

San Diego, CA 92111-2318

Phone: (858) 880-8945

Street-level locationGet directions

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Mailing address