Individual
EDMOND HWAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
330 W. AVENUE 26, #328, LOS ANGELES, CA 90031
(818) 395-4415
Mailing address
330 W. AVENUE 26, #328, LOS ANGELES, CA 90031
(818) 395-4415
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC 12258
ACUPUNCTURIST
CA
Enumeration date
10/08/2010
Last updated
10/08/2010
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