Grace Jung Kim, is a
Acupuncturist based in Phelan, California. Grace Jung Kim is licensed to practice in California (license number AC9027) and her current practice location is
3777 Phelan Rd, Phelan, California. She can be reached at her office (for appointments etc.) via phone at
(760) 868-5618.
NPI number for Grace Jung Kim is 1164567772 and her current mailing address is 4834 Smoke Tree Rd, Phelan, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164567772.
Healthcare Provider's Profile
| Full Name | Grace Jung Kim |
|---|
| Gender | Female |
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| Speciality | Acupuncturist |
|---|
| Location | 3777 Phelan Rd, Phelan, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164567772
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 09/20/2011
Medical Identifiers
Medical identifiers for Grace Jung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164567772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC9027 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace Jung Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grace Jung Kim,
4834 Smoke Tree Rd,
Phelan, CA 92371-6883
Ph: () - | Grace Jung Kim,
3777 Phelan Rd,
Phelan, CA 92371-9074
Ph: (760) 868-5618 |
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