Individual
CHONG HYON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
954 5TH AVE, LOS ANGELES, CA 90019-2019
(310) 967-9464
Mailing address
954 5TH AVE, LOS ANGELES, CA 90019-2019
(310) 967-9464
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17
ACUPUNCURIST
CA
05
—
17
—
CA
Enumeration date
04/03/2013
Last updated
04/03/2013
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