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Organization
HEALING ACUPUNCTURE
Active
Organization
HEALING ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUNG SIK KIM LAC, MS. (ACUPUNCTURIST)
(510) 386-2071
Entity
Organization
Contact information
Practice address
37553 FREMONT BLVD, FREMONT, CA 94536-3706
(510) 386-2071
(510) 797-1157
Mailing address
3150 SOUTHWYCKE TER, FREMONT, CA 94536-1960
(510) 386-2071
(510) 797-1157
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902139934
NPI FOR INDIVIDUAL
—
Enumeration date
09/27/2012
Last updated
09/27/2012
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