Healthcare Provider Details

I. General information

NPI: 1093673295
Provider Name (Legal Business Name): KIMCHI TRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 S BALDWIN AVE STE A
ARCADIA CA
91007-7287
US

IV. Provider business mailing address

809 FAIRVIEW AVE APT 7
ARCADIA CA
91007-6690
US

V. Phone/Fax

Practice location:
  • Phone: 626-348-8760
  • Fax:
Mailing address:
  • Phone: 310-869-2705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: