DR. CHUNG SOO KIM (NPI# 1619435765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619435765 |
| Entity Type | Individual |
| Full Name | DR. CHUNG SOO KIM |
| Credential | AC |
| Practice Address |
21217 Washington Ave Spc 13 Walnut CA 91789-3300 |
| Practice Telephone | 9096309005 |
| Practice Fax Number | 8188558061 |
| Mailing Telephone | 9096309005 |
| Mailing Fax Number | 8188558061 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC18430 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730407792 | Chung W Kim | Pharmacist | 448 S King St, Leesburg, VA 20175-3619 | 2010-05-13 |
| 1124170717 | Chung Kim | Dentist | 180 E 4th St Ste A, Perris, CA 92570-2125 | 2007-01-17 |
| 1801802343 | Chung Hoon Kim | Internal Medicine | 130 Office Pkwy, Suite B Tobey Village Office Park, Pittsford, NY 14534-1700 | 2006-08-01 |
| 1023032406 | Chung Ja Kim | Durable Medical Equipment & Medical Supplies | 333 S Western Ave, Ste A, Los Angeles, CA 90020-3804 | 2006-07-27 |
| 1548227051 | Chung K Kim | Dentist | 20 Main St Ste 17, Windsor Locks, CT 06096-2345 | 2006-04-27 |
| 1386070894 | Chung Won Kim | Nurse Practitioner | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2013-09-17 |
| 1801089925 | Chung Kim | Dentist | 204 E Warner Ave Ste 104, Santa Ana, CA 92707-3277 | 2007-08-22 |
| 1437223013 | Chung Eun Kim | Internal Medicine | 234 E 149th St, Bronx, NY 10451-5504 | 2006-11-17 |
| 1841363793 | Chung W Kim | Pediatrics | 4082 Whittier Blvd, #102, Los Angeles, CA 90023-2558 | 2006-11-16 |
| 1902916562 | Chung Y Kim | Specialist | 500 Medical Center Blvd, Webster, TX 77598-4220 | 2006-08-30 |
| Street Address |
21217 WASHINGTON AVE SPC 13 |
| City | WALNUT |
| State | CA |
| Zip Code | 91789-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964203 | Dolores A. Lopez | Technician | 335 San Roque Drive, Walnut, CA 91789 | 2019-10-22 |
| 1831754233 | Huei-chen Hsu | Pharmacist | 21590 East Valley Blvd., Walnut, CA 91789 | 2019-05-01 |
| 1114486511 | A Plus Acupuncture | Acupuncturist | 1239 N Grand Ave, Walnut, CA 91789 | 2019-03-14 |
| 1003399106 | Larry Besong | Respiratory Therapist, Registered | 22285 Roundup Dr, Walnut, CA 91789 | 2018-09-13 |
| 1114418837 | Yu Yao Lai | Acupuncturist | 20627 Golden Springs Dr # J, Diamond Bar, CA 91789 | 2018-05-29 |
| 1720575608 | Sonam Patel | Pharmacist | 1533 Parker Canyon Road, Walnut, CA 91789 | 2018-04-17 |
| 1649799206 | Jacquelyn Lising | Dietitian, Registered | 911 Summitview Ct, Walnut, CA 91789 | 2017-09-14 |
| 1497272389 | Jennifer Diaz | Behavior Technician | 539 Castlehill Dr, Walnut, CA 91789 | 2017-08-23 |
| 1952759888 | Laurentino Lozada De Guia Jr. | Dentist | 778 Nogales St., Suite G, Walnut, CA 91789 | 2016-06-01 |
| 1679970859 | Grace Park | Chiropractor | 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 | 2014-12-03 |
| Find all providers in zip 91789 | ||||
| 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 |
|---|---|---|---|---|
| 1114486511 | A Plus Acupuncture | Acupuncturist | 1239 N Grand Ave, Walnut, CA 91789 | 2019-03-14 |
| 1639644362 | Traditional Acupuncture Clinic | Acupuncturist | 20709 Golden Springs Dr, Walnut, CA 91789-3847 | 2018-10-09 |
| 1629561923 | Heara Choi | Acupuncturist | 3745 Valley Blvd Spc 28, Walnut, CA 91789-1504 | 2018-06-11 |
| 1790278299 | Shujiao Li | Acupuncturist | 20132 Emerald Meadow Dr, Walnut, CA 91789-3511 | 2018-06-08 |
| 1265946826 | Juliana Lu | Acupuncturist | 855 Francesca Dr Unit 206, Walnut, CA 91789-4569 | 2017-11-18 |
| 1649794082 | Zhechao Li | Acupuncturist | 19811 Colima Rd Ste 140, Walnut, CA 91789-3422 | 2017-07-27 |
| 1093168072 | Ming Tian Chen | Acupuncturist | 382 S Lemon Ave Ste B, Walnut, CA 91789-2715 | 2016-07-14 |
| 1457702961 | Trina Chang | Acupuncturist | 21102 Northview Dr, Walnut, CA 91789-2022 | 2016-06-27 |
| 1154700847 | Sang Lee | Acupuncturist | 20739 Lycoming St Spc 73, Walnut, CA 91789-7373 | 2015-05-27 |
| 1710364435 | Tae Hyung Kim | Acupuncturist | 20828 E Rocky Point Ln, Walnut, CA 91789-4029 | 2015-05-01 |
| Find all providers in WALNUT | ||||
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| 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.