Individual
MR. CHANG KYOUM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
3407 W 6TH ST #827, LOS ANGELES, CA 90020
(213) 598-7460
Mailing address
3407 W 6TH ST STE 827, LOS ANGELES, CA 90020-2558
(213) 598-7460
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC14815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC14815
ACUPUNCTURIST
CA
Enumeration date
04/10/2013
Last updated
04/10/2013
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