MEDICARE: DR. KIMMY H KIM ACUPUNCTURUST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	LAC5629	CA

General Provider Information

NPI Number	:	1306841028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMMY H KIM ACUPUNCTURUST

Provider Business Mailing Address
First Line	:	4214 BEVERLY BLVD
Second Line	:	STE 210
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-4429
Country	:	US
Telephone Number	:	213-738-7447
Fax Number	:

Provider Business Practice Location Address
First Line	:	4214 BEVERLY BLVD
Second Line	:	STE 210
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-4429
Country	:	US
Telephone Number	:	213-738-7447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/08/2007

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