Healthcare Provider Details

I. General information

NPI: 1407771413
Provider Name (Legal Business Name): ACU AESTHETIC LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19415 DEERFIELD AVE STE 201
LANSDOWNE VA
20176-8471
US

IV. Provider business mailing address

5412 PACHYSANDRA LN
CENTREVILLE VA
20120-5014
US

V. Phone/Fax

Practice location:
  • Phone: 571-348-0550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CHRISTINE KIM
Title or Position: OWNER/LICENSED ACUPUNCTURIST
Credential: DACM, LLC.
Phone: 703-598-0892