Individual
CHIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
3251 W 6TH ST STE 100, LOS ANGELES, CA 90020-5019
(213) 255-1155
(213) 383-1633
Mailing address
515 CONCORD ST APT 108, GLENDALE, CA 91203-2817
(213) 255-1155
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 5111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDI-CAL
4008936
CA
Enumeration date
03/27/2007
Last updated
07/08/2007
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