MEDICARE: KIMCHI TRAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist		CA

General Provider Information

NPI Number	:	1093673295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMCHI TRAN

Provider Business Mailing Address
First Line	:	809 FAIRVIEW AVE APT 7
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-6690
Country	:	US
Telephone Number	:	310-869-2705
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 S BALDWIN AVE STE A
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-7287
Country	:	US
Telephone Number	:	626-348-8760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ KIMCHI TRAN ” Practice Location

Language	Start Address	Practice Location

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