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Organization
KSJ ACUPUNCTURE CLINIC
Active
Organization
KSJ ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG JO KIM L.AC. (OWNER)
(323) 821-5522
Entity
Organization
Contact information
Practice address
12402 INDUSTRIAL BLVD, SUITE B2, VICTORVILLE, CA 92395-5871
(760) 428-2800
Mailing address
2150 CHEYENNE WAY, UNIT 177, FULLERTON, CA 92833-4949
(323) 821-5522
(714) 848-9546
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC8143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204839485
ASH
CA
Enumeration date
11/10/2006
Last updated
09/12/2016
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