NPI Search for Physicians and Health Care Providers
TAE GON KIM
>> Acupuncturist >> Other Service ProvidersRegistrant NPI Number: 1538717939
Individual Registrant:
TAE GON KIM
Gender: M
Sole Proprietor
Location and contact information for practice:
5301 WHITTIER BLVD EAST LOS ANGELES, CA 90022-4038 US
Tel: 323-715-3615 Fax: --
Contact information for business:
2144 CITTADIN DR FULLERTON, CA 92833-5757 US
Tel: 323-715-3615 Fax: --
Registration Information:
NPI: 1538717939
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 171100000X | Other Service Providers Acupuncturist
| CA | AC15772 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1