Healthcare Provider Details

I. General information

NPI: 1285561944
Provider Name (Legal Business Name): SSK ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10441 MAGNOLIA AVE UNIT B
ANAHEIM CA
92804-5184
US

IV. Provider business mailing address

10441 MAGNOLIA AVE UNIT B
ANAHEIM CA
92804-5184
US

V. Phone/Fax

Practice location:
  • Phone: 714-396-3475
  • Fax:
Mailing address:
  • Phone: 714-396-3475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: SUNG SOO KIM
Title or Position: OWNER
Credential:
Phone: 714-396-3475