Individual
DANIEL BOUM KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC PHD
Contact information
Practice address
917 C ST, HAYWARD, CA 94541-5122
(510) 889-8062
(510) 537-6380
Mailing address
917 C ST, HAYWARD, CA 94541-5122
(510) 889-8062
(510) 537-6380
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC2498
CA
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7590612
—
CA
Enumeration date
12/18/2006
Last updated
05/07/2015
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