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Organization
ROOT ACUPUNCTURE CLINIC. INC
Active
Organization
ROOT ACUPUNCTURE CLINIC. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANG KYUM KIM (ACUPUNCTURIST)
(805) 379-4747
Entity
Organization
Contact information
Practice address
3180 WILLOW LN STE 118, THOUSAND OAKS, CA 91361-4986
(805) 379-4747
Mailing address
3180 WILLOW LN STE 118, THOUSAND OAKS, CA 91361-4986
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC13899
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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