Healthcare Provider Details

I. General information

NPI: 1467825299
Provider Name (Legal Business Name): BACK ON POINT WELLNESS DR. KIM CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2015
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4640 DEL AMO BLVD
TORRANCE CA
90503-1939
US

IV. Provider business mailing address

4640 DEL AMO BLVD
TORRANCE CA
90503-1939
US

V. Phone/Fax

Practice location:
  • Phone: 310-800-1418
  • Fax:
Mailing address:
  • Phone: 310-800-1418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC32746
License Number StateCA

VIII. Authorized Official

Name: DR. ERNEST KIM
Title or Position: CHIROPRACTOR/ OWNER
Credential: D.C., L.AC.
Phone: 310-800-1418