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Organization
NUVIDA KMC
Active
Organization
NUVIDA KMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN KIM L.AC (PRESIDENT)
(714) 773-7000
Entity
Organization
Contact information
Practice address
1400 N. HARBOR BLVD., SUITE # 120, FULLERTON, CA 92835
(714) 773-7000
(714) 870-5028
Mailing address
1400 N. HARBOR BLVD., SUITE # 120, FULLERTON, CA 92835
(714) 773-7000
(714) 870-5028
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
Primary
AC12314
—
171100000X
Acupuncturist
—
—
Other
Enumeration date
09/11/2008
Last updated
05/26/2022
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