MEDICARE: JAE NAM 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	AC6961	CA

General Provider Information

NPI Number	:	1770908618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAE NAM KIM

Provider Business Mailing Address
First Line	:	1661 NOGALES ST
Second Line	:	SUITE D
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2988
Country	:	US
Telephone Number	:	626-964-1508
Fax Number	:	626-964-5908

Provider Business Practice Location Address
First Line	:	1661 NOGALES ST
Second Line	:	SUITE D
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2988
Country	:	US
Telephone Number	:	626-964-1508
Fax Number	:	626-964-5908

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

Provider Enumeration Date	:	03/02/2014
Last Update Date	:	03/02/2014

Similar Medicare Providers

1154389435 — LANPING YU MD
Practice Location Address:

325 CHARLES H DIMMOCK PKWY STE 600
COLONIAL HEIGHTS, VA
23834-2988

Practice Phone: 804-518-3288
Practice Fax:

1871619072 — KELLY GRANT PT, ATC
Practice Location Address:

2988 EATON RD
SHAKER HEIGHTS, OH
44122-2516

Practice Phone: 216-991-1050
Practice Fax:

1467881706 — CENTERSOURCE CORPORATION
Practice Location Address:

2988 NW FAIRWAY HEIGHTS DR
BEND, OR
97703-8334

Practice Phone: 877-293-1472
Practice Fax: 877-293-1475

1609224559 — SKYE LU DO
Practice Location Address:

325 CHARLES H DIMMOCK PKWY STE 600
COLONIAL HEIGHTS, VA
23834-2988

Practice Phone: 804-518-3288
Practice Fax: 888-990-1241

1225769300 — DIMMOCK MEDICAL GROUP
Practice Location Address:

325 CHARLES H DIMMOCK PKWY STE 500
COLONIAL HEIGHTS, VA
23834-2988

Practice Phone: 804-524-0060
Practice Fax: 804-524-0064

1922485143 — COLETTE CORTEZ BCBA
Practice Location Address:

17462 COLIMA RD
ROWLAND HEIGHTS, CA
91748-1633

Practice Phone: 855-223-7123
Practice Fax:

Directions to “ JAE NAM KIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.