MEDICARE: JEUNGMO KIM LA,C

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	AC12777	CA

General Provider Information

NPI Number	:	1891934006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEUNGMO KIM LA,C

Provider Business Mailing Address
First Line	:	10081 HIDDEN VILLAGE RD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92840-4747
Country	:	US
Telephone Number	:	714-403-9391
Fax Number	:

Provider Business Practice Location Address
First Line	:	10081 HIDDEN VILLAGE RD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92840-4747
Country	:	US
Telephone Number	:	714-403-9391
Fax Number	:

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

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	02/11/2009

Similar Medicare Providers

1386486892 — DR. ELAINE HOANG PHARMD
Practice Location Address:

14202 FLOWER ST APT H
GARDEN GROVE, CA
92843-4747

Practice Phone: 714-794-7354
Practice Fax:

1568606291 — DR. HARRY ALCUS MUSLOW MD
Practice Location Address:

4747 DIXIE GARDEN DR
SHREVEPORT, LA
71105-4021

Practice Phone: 318-861-2604
Practice Fax:

1770219701 — PAUL ANSON BENJAMIN
Practice Location Address:

1854 PORTCASTLE CIR
WINTER GARDEN, FL
34787-4747

Practice Phone: 786-877-0503
Practice Fax:

1316728496 — ELEVATING YOUR HEALTH LLC
Practice Location Address:

1854 PORTCASTLE CIR
WINTER GARDEN, FL
34787-4747

Practice Phone: 786-877-0503
Practice Fax:

1285502617 — URIEL GUZMAN
Practice Location Address:

12395 LEWIS ST STE 102
GARDEN GROVE, CA
92840-4698

Practice Phone: 760-634-1125
Practice Fax:

1548990401 — TATIANA BOCHI-LE NONE
Practice Location Address:

12141 BROOKHURST ST STE 201
GARDEN GROVE, CA
92840-2865

Practice Phone: 657-261-7140
Practice Fax: 714-922-1032

Directions to “ JEUNGMO KIM LA,C” 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.