MEDICARE: BARUN DISC CLINIC

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	111N00000X	Chiropractor	DC 27995	CA

General Provider Information

NPI Number	:	1346429560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARUN DISC CLINIC

Provider Business Mailing Address
First Line	:	3545 WILSHIRE BLVD
Second Line	:	SUITE 203
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2354
Country	:	US
Telephone Number	:	213-388-9683
Fax Number	:	213-388-9696

Provider Business Practice Location Address
First Line	:	3545 WILSHIRE BLVD
Second Line	:	SUITE 203
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2354
Country	:	US
Telephone Number	:	213-388-9683
Fax Number	:	213-388-9696

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JONATHAN Y KIM
Credential	:	D.C.
Telephone Number	:	213-272-3480

Provider Enumeration Date	:	10/25/2007
Last Update Date	:	10/25/2007

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Directions to “BARUN DISC CLINIC ” Practice Location

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