KYUNGYEOL KIM (NPI# 1104322916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104322916 |
| Entity Type | Individual |
| Full Name | KYUNGYEOL KIM |
| Credential | L.AC |
| Practice Address |
25211 Sunnymead Blvd # C-15 Moreno Valley CA 92553-4100 |
| Mailing Address |
1231 N Gilbert St Apt 73 Fullerton CA 92833-5006 |
| Practice Telephone | 5306016996 |
| Mailing Telephone | 5306016996 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC17488 | CA | Other Service Providers |
| Street Address |
25211 SUNNYMEAD BLVD # C-15 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| 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 anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922590751 | Jenny Zhai | Acupuncturist | 26272 Ironwood Ave, Moreno Valley, CA 92555-1708 | 2018-06-06 |
| 1952713018 | Misook Doo | Acupuncturist | 11441 Heacock St Ste E, Moreno Valley, CA 92557-7907 | 2014-05-23 |
| 1851710263 | Tcm Acupuncture & Herb Inc. | Acupuncturist | 23470 Olive Wood Plaza Dr Ste 130, Moreno Valley, CA 92553-5220 | 2014-04-14 |
| 1982025615 | Alcocer Acupuncture Medical Clinic Inc | Acupuncturist | 23887 Sunnymead Blvd, Suite. C, Moreno Valley, CA 92553-0528 | 2013-12-24 |
| 1982035028 | Xiaolong Alcocer | Acupuncturist | 23887 Sunnymead Blvd., Suite C, Moreno Valley, CA 92553 | 2013-11-27 |
| 1396981718 | James Kim | Acupuncturist | 23824 Ridge Point Ct, Moreno Valley, CA 92557-2935 | 2009-01-07 |
| 1750548467 | Bo Y Kim | Acupuncturist | 11441 Heacock St Ste B2, Moreno Valley, CA 92557-7907 | 2008-05-20 |
| 1417152968 | Jl Pain Management Center Inc | Acupuncturist | 12199 Heacock St Ste 6, Moreno Valley, CA 92557-7107 | 2007-06-15 |
| 1942374947 | Qian Wang | Acupuncturist | 23470 Olive Wood Plaza Dr, Suite Number 130, Moreno Valley, CA 92553-5264 | 2006-11-20 |
| 1699853424 | Jung H Lee | Acupuncturist | 25211 Sunnymead Blvd. #d-5, Moreno Valley, CA 92553 | 2006-11-01 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on KYUNGYEOL KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.