Kyu Boom Kim is a Chiropractor in Cerritos, California. Kyu Boom Kim practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kyu Boom Kim is 1053406520. The last update date is 2007-07-08.
Kyu Boom Kim's current location address is 11813 E. Del Amo Blvd., Cerritos, California. You can contact this provider via phone number 5624680023 and fax number 5624680025. The mailing address for Kyu Boom Kim is 11813 E. Del Amo Blvd., Cerritos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyu Boom Kim |
|---|---|
| Address | 11813 E. Del Amo Blvd., Cerritos, California |
| Phone Number | 5624680023 |
| Fax Number | 5624680025 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1053406520 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11813 E. Del Amo Blvd. |
|---|---|
| City | Cerritos |
| State | California (CA) |
| Post Code | 907037605 |
| Phone Number | 5624680023 |
| Fax Number | 5624680025 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC 28804 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique 10-digit identifier code assigned to Kyu Boom Kim by the Centers for Medicare & Medicaid Services?
The Kyu Boom Kim has been issued the NPI (National Provider Identifier) 1053406520 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kyu Boom Kim is physically located?
The Kyu Boom Kim is situated at the following address: 11813 E. Del Amo Blvd., Cerritos, CA 907037605.
What is Kyu Boom Kim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kyu Boom Kim's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When did the Kyu Boom Kim receive its 1053406520?
The Kyu Boom Kim was issued its 1053406520 on 2006-10-03, which is the date when the organization was assigned this unique identifier.
When was the Kyu Boom Kim's information last updated?
The Kyu Boom Kim's information was last updated on 2007-07-08.
NPI Number: 1063415297
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