Elliot Heejae Kim in Fontana - Acupuncturist

Elliot Heejae Kim - NPI 1093990764

Elliot Heejae Kim is a Acupuncturist in Fontana, California. Elliot Heejae Kim practices all healthcare services and medical treatments related to Acupuncturist. The NPI Number for Elliot Heejae Kim is 1093990764. The last update date is 2018-03-17.

Elliot Heejae Kim's current location address is 8253 Sierra Ave Ste 205, Fontana, California. You can contact this provider via phone number 9093202844 and fax number 9093571244. The mailing address for Elliot Heejae Kim is 8253 Sierra Ave Ste 205, Fontana, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Elliot Heejae Kim
Address 8253 Sierra Ave Ste 205, Fontana, California
Phone Number 9093202844
Fax Number 9093571244
Sole Proprietor Y
Credentials ACUPUNCTUR

NPI Number Detail

NPI Number 1093990764
Provider Enumeration Date 2007-12-31
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 8253 Sierra Ave Ste 205
City Fontana
State California (CA)
Post Code 923353577
Phone Number 9093202844
Fax Number 9093571244

Provider's Primary Taxonomy Detail

Speciality Acupuncturist
Taxonomy 171100000X
Licence No 12044
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12044 CA AC

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FAQs about Elliot Heejae Kim

What is the unique 10-digit identifier code assigned to Elliot Heejae Kim by the Centers for Medicare & Medicaid Services?

The Elliot Heejae Kim has been issued the NPI (National Provider Identifier) 1093990764 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Elliot Heejae Kim?

The Elliot Heejae Kim is physically situated at 8253 Sierra Ave Ste 205, in the city of Fontana, state of CA, with the postal code 923353577.

What is Elliot Heejae Kim's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Elliot Heejae Kim is Acupuncturist, and the taxonomy classification code that categorizes this area of expertise is 171100000X.

On what date did Elliot Heejae Kim receive its 1093990764 assignment from the Centers for Medicare & Medicaid Services?

The Elliot Heejae Kim was assigned its 1093990764 on 2007-12-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Elliot Heejae Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Elliot Heejae Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.

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