MEDICARE: ERIN EUNYOUNG KIM

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	AC17362	CA

General Provider Information

NPI Number	:	1477004323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN EUNYOUNG KIM

Provider Business Mailing Address
First Line	:	14785 JEFFREY RD STE 109
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-0410
Country	:	US
Telephone Number	:	949-559-3675
Fax Number	:	949-336-1423

Provider Business Practice Location Address
First Line	:	14785 JEFFREY RD STE 109
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-0410
Country	:	US
Telephone Number	:	949-559-3675
Fax Number	:	949-336-1423

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

Provider Enumeration Date	:	10/16/2016
Last Update Date	:	10/02/2025

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