MEDICARE: JUNG SOOK KIM ORIENTAL CLINIC

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	9977	CA

General Provider Information

NPI Number	:	1457852758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUNG SOOK KIM ORIENTAL CLINIC

Provider Business Mailing Address
First Line	:	5403 W 8TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4842
Country	:	US
Telephone Number	:	213-284-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	4017 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3401
Country	:	US
Telephone Number	:	213-284-1133
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAYNE J. KIM
Credential	:	L. AC
Telephone Number	:	213-284-1133

Provider Enumeration Date	:	02/22/2018
Last Update Date	:	02/22/2018

Similar Medicare Providers

1669479176 — DR. DANIEL KWANGSON YI D.C.
Practice Location Address:

4017 WILSHIRE BLVD
LOS ANGELES, CA
90010-3401

Practice Phone: 213-384-8888
Practice Fax: 213-384-8887

1861603573 — DR. KWANG BACK LEE DDS
Practice Location Address:

4015 WILSHIRE BLVD
LOS ANGELES, CA
90010-3401

Practice Phone: 213-385-1325
Practice Fax: 213-380-9842

1841460342 — JAYNE KIM L.AC.
Practice Location Address:

4017 WILSHIRE BLVD # A
LOS ANGELES, CA
90010-3401

Practice Phone: 132-284-1133
Practice Fax:

1225274392 — HO JU JIN D.D.S.
Practice Location Address:

4007 WILSHIRE BLVD
LOS ANGELES, CA
90010-3401

Practice Phone: 213-385-1325
Practice Fax: 213-380-9842

1568469732 — DR. ROBERT KUMMER O.D.
Practice Location Address:

1421 S ROBERTSON BLVD
LOS ANGELES, CA
90035-3401

Practice Phone: 310-274-0653
Practice Fax: 310-274-0360

1245219583 — DR. JON D VOGEL O.D.
Practice Location Address:

1059 GAYLEY AVE
LOS ANGELES, CA
90024-3401

Practice Phone: 310-208-3011
Practice Fax: 310-208-6831

Directions to “JUNG SOOK KIM ORIENTAL CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.