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Individual

DR. DIO D KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., L. AC.

Contact information

Practice address
14232 RED HILL AVE, TUSTIN, CA 92780-5836
(714) 505-5252
(714) 505-1513
Mailing address
14232 RED HILL AVE, TUSTIN, CA 92780-3348
(714) 505-5252
(714) 505-1513

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27994
CA
171100000X
Acupuncturist
AC10600
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC10600
GENERAL INSURANCE
CA
01
DC27994
GENERAL INSURANCE
CA
Enumeration date
10/02/2006
Last updated
03/24/2015
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