Healthcare Provider Details

I. General information

NPI: 1528916889
Provider Name (Legal Business Name): D ACUPUNCTURE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E 12TH ST STE 8
LOS ANGELES CA
90015-2591
US

IV. Provider business mailing address

312 E 12TH ST STE 8
LOS ANGELES CA
90015-2591
US

V. Phone/Fax

Practice location:
  • Phone: 213-268-6092
  • Fax:
Mailing address:
  • Phone: 213-268-6092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WILLIAM JUNE KI KIM
Title or Position: ACUPUNCTURIST
Credential: L. AC.
Phone: 213-268-6092