# HEALING ACUPUNCTURE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083965263
- **Authorized official:** DR. KYUNG SIK KIM LAC, MS. (ACUPUNCTURIST)
- **Authorized official phone:** (510) 386-2071

## Contact information

- **Practice address:** 37553 FREMONT BLVD, FREMONT, CA 94536-3706
- **Practice address phone:** (510) 386-2071
- **Practice address fax:** (510) 797-1157
- **Mailing address:** 3150 SOUTHWYCKE TER, FREMONT, CA 94536-1960
- **Mailing address phone:** (510) 386-2071
- **Mailing address fax:** (510) 797-1157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 12534 | CA | Yes |

## Other

- **Enumeration date:** 09/27/2012
- **Last updated:** 09/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1902139934 | NPI FOR INDIVIDUAL | — |