Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE JUNG KIM
Active Sole ProprietorGRACE JUNG KIM is a Acupuncturist healthcare provider located in PHELAN, California. NPI 1164567772 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · PHELAN, CA
Registration Details
- NPI Number
- 1164567772
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2007 (19.45470408525 yrs)
- Last Updated
- Sep 20, 2011
- License
-
AC9027 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3777 PHELAN RDPHELAN, CA, 923719074Browse CA providers · Browse ZIP 92371
- Phone
- 7608685618
- Fax
- 7608686688
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in PHELAN, CA
| Name | Credential | NPI |
|---|---|---|
| TARA MATTHEWS | L.AC | 1114040045 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.