Individual
DIANA MI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
15885 MAIN ST, SUITE 280, HESPERIA, CA 92345-3452
(760) 628-4777
(760) 949-2534
Mailing address
9027 FREMONT CT, HESPERIA, CA 92344-9240
(760) 628-4777
(760) 949-2534
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC13352
CA
Other
Enumeration date
10/02/2010
Last updated
03/10/2011
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