Healthcare Provider Details

I. General information

NPI: 1558247973
Provider Name (Legal Business Name): 633 ACUPUNCTURE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13353 ALONDRA BLVD STE 105
SANTA FE SPRINGS CA
90670-5576
US

IV. Provider business mailing address

13353 ALONDRA BLVD STE 105
SANTA FE SPRINGS CA
90670-5576
US

V. Phone/Fax

Practice location:
  • Phone: 213-296-7770
  • Fax:
Mailing address:
  • Phone: 213-296-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JIN HEE KIM
Title or Position: PRESIDENT
Credential: L.AC.
Phone: 213-296-7770