Individual
CHEON YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.M.D.
Contact information
Practice address
9541 BIXBY AVE, GARDEN GROVE, CA 92841-3708
(714) 349-8303
Mailing address
9541 BIXBY AVE, GARDEN GROVE, CA 92841-3708
(714) 349-8303
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC10899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC10899
ACUPUNCTURIST
CA
Enumeration date
05/15/2007
Last updated
07/08/2007
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