MEDICARE: TOTAL ACUPUNCTURE & WELLNESS CENTER

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

General Provider Information

NPI Number	:	1295857316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL ACUPUNCTURE & WELLNESS CENTER

Provider Business Mailing Address
First Line	:	11353 SANTA MONICA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-3151
Country	:	US
Telephone Number	:	310-996-7778
Fax Number	:	310-996-7773

Provider Business Practice Location Address
First Line	:	11353 SANTA MONICA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-3151
Country	:	US
Telephone Number	:	310-996-7778
Fax Number	:	310-996-7773

Authorized Official
Title or Position	:	CEO
Name	:	DR. JAMES K KIM
Credential	:	LIC. AC.
Telephone Number	:	310-996-7778

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	08/22/2020

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Directions to “TOTAL ACUPUNCTURE & WELLNESS CENTER ” Practice Location

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