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Individual

DR. ELLIOT HEEJAE KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACUPUNCTURE

Contact information

Practice address
8253 SIERRA AVE STE 205, FONTANA, CA 92335-3577
(909) 320-2844
(909) 357-1244
Mailing address
8253 SIERRA AVE STE 205, FONTANA, CA 92335-3577
(909) 320-2844
(909) 357-1244

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12044
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12044
AC
CA
Enumeration date
12/31/2007
Last updated
03/17/2018
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