DR. Chang K Kim, L.AC., O.M.D., PH D.

NPI #1568641199 in Marina, California

Provider Information

NPI Number: 1568641199
Entity Type: Individual
Name: DR. Chang K Kim, L.AC., O.M.D., PH D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC., O.M.D., PH D.
Enumeration Date: Oct 31, 2007
Last Updated: Oct 31, 2007

Practice Location

Address: 326 RESERVATION RD
Address 2: SUITE E
City: Marina
State: California
ZIP Code: 93933-3257
Phone: (831) 384-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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