MEDICARE: SUN HYU KIM L.AC.

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	AC11506	CA

General Provider Information

NPI Number	:	1891932836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUN HYU KIM L.AC.

Provider Business Mailing Address
First Line	:	10141 WESTMINSTER AVE
Second Line	:	#204
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-4788
Country	:	US
Telephone Number	:	714-590-9872
Fax Number	:	714-590-2232

Provider Business Practice Location Address
First Line	:	10141 WESTMINSTER AVE
Second Line	:	#204
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-4788
Country	:	US
Telephone Number	:	714-590-9872
Fax Number	:	714-590-2232

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

Provider Enumeration Date	:	01/13/2009
Last Update Date	:	08/23/2024

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