Individual
HO JUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. ACU.
Contact information
Practice address
1121 S 4TH ST, SUITE A, EL CENTRO, CA 92243-4742
(760) 370-0516
Mailing address
1121 S 4TH ST, SUITE A, EL CENTRO, CA 92243-4742
(760) 370-0516
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC 11071
ACUPUNCTURE LICENSE
CA
Enumeration date
01/24/2008
Last updated
01/24/2008
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