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NPI 1467825299

NPI 1467825299 : BACK ON POINT WELLNESS DR. KIM CHIROPRACTIC, INC. : TORRANCE, CA

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General NPI Number Information
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    NPI Number           |    1467825299
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    Entity Type          |    Organization 
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    Legal Business Name  |    BACK ON POINT WELLNESS DR. KIM CHIROPRACTIC, INC. 
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Dates
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    Enumeration Date     |    11/02/2015
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    Last Update Date     |    09/25/2025
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Provider Practice Location Address
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    Address Line         |    4640 DEL AMO BLVD 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90503-1939
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    Country              |    US
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    Telephone            |    310-800-1418
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4640 DEL AMO BLVD 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90503-1939
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    Country              |    US
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    Telephone            |    310-800-1418
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIROPRACTOR/ OWNER
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    Name                 |    DR. ERNEST  KIM 
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    Credential           |    D.C., L.AC.
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    Telephone            |    310-800-1418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC32746
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    License Number State |    CA
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