Individual
MR. CHANGBAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
100 N STATE COLLEGE BLVD STE E, FULLERTON, CA 92831-4236
(562) 822-8912
Mailing address
13229 CAROLYN ST, CERRITOS, CA 90703-8605
(562) 822-8912
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC17583
CA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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