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Individual

DR. CHUNG SOO KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AC

Contact information

Practice address
21217 WASHINGTON AVE SPC 13, WALNUT, CA 91789-3300
(909) 630-9005
(818) 855-8061
Mailing address
21217 WASHINGTON AVE SPC 13, WALNUT, CA 91789-3300
(909) 630-9005
(818) 855-8061

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC18430
CA

Other

Enumeration date
03/07/2019
Last updated
03/07/2019
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