Individual
MR. CHONG HWAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTKURIST
Contact information
Practice address
4110 W 3RD ST, LOS ANGELES, CA 90020-3406
(213) 386-2580
(213) 386-2582
Mailing address
4110 W 3RD ST, LOS ANGELES, CA 90020-3406
(213) 386-2580
(213) 386-2582
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AC0078140
—
CA
Enumeration date
05/23/2007
Last updated
07/09/2007
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