Grace Jung Kim is a Acupuncturist in Phelan, California. Grace Jung Kim practices all healthcare services and medical treatments related to Acupuncturist. The NPI Number for Grace Jung Kim is 1164567772. The last update date is 2011-09-20.
Grace Jung Kim's current location address is 3777 Phelan Rd, Phelan, California. You can contact this provider via phone number 7608685618 and fax number 7608686688. The mailing address for Grace Jung Kim is 3777 Phelan Rd, Phelan, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Jung Kim |
|---|---|
| Address | 3777 Phelan Rd, Phelan, California |
| Phone Number | 7608685618 |
| Fax Number | 7608686688 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164567772 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2011-09-20 |
Provider Mailing Address Detail
| Address | 3777 Phelan Rd |
|---|---|
| City | Phelan |
| State | California (CA) |
| Post Code | 923719074 |
| Phone Number | 7608685618 |
| Fax Number | 7608686688 |
Provider's Primary Taxonomy Detail
| Speciality | Acupuncturist |
|---|---|
| Taxonomy | 171100000X |
| Licence No | AC9027 |
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Definition: An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthes |
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What is the unique 10-digit identifier code assigned to Grace Jung Kim by the Centers for Medicare & Medicaid Services?
The Grace Jung Kim has been issued the NPI (National Provider Identifier) 1164567772 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Grace Jung Kim is physically located?
The Grace Jung Kim is physically situated at the following address: 3777 Phelan Rd, Phelan, CA, 923719074.
What is Grace Jung Kim's area of expertise and its corresponding taxonomy classification?
The Grace Jung Kim's field of specialization is Acupuncturist, and it falls under the taxonomy code 171100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Grace Jung Kim receive the assignment of its 1164567772 from the Centers for Medicare & Medicaid Services?
The Grace Jung Kim was issued its 1164567772 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date was the information regarding Grace Jung Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Grace Jung Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-20.