Individual
DR. CASEY Y KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.AC
Contact information
Practice address
1914 S WESTERN AVE, LOS ANGELES, CA 90018-1537
(213) 389-8275
Mailing address
11344 NAPOLI DR, RANCHO CUCAMONGA, CA 91701-8532
(909) 320-0695
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC15345
CA
Other
Enumeration date
04/13/2013
Last updated
04/30/2015
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