Individual
DAE KWON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
403 N OAKHURST DR APT 104, BEVERLY HILLS, CA 90210-4030
(213) 210-5553
(310) 385-0108
Mailing address
403 N OAKHURST DR APT 104, BEVERLY HILLS, CA 90210-4030
(213) 210-5553
(310) 385-0108
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC 9710
ACUPUNCTURE
CA
Enumeration date
04/10/2007
Last updated
07/08/2007
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