Tae Gon Kim, is a
Acupuncturist based in East Los Angeles, California. Tae Gon Kim is licensed to practice in California (license number AC15772) and his current practice location is
5301 Whittier Blvd, East Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 715-3615.
NPI number for Tae Gon Kim is 1538717939 and his current mailing address is 2144 Cittadin Dr, Fullerton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538717939.
Healthcare Provider's Profile
| Full Name | Tae Gon Kim |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 5301 Whittier Blvd, East Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538717939
- Provider Enumeration Date: 08/28/2019
- Last Update Date: 08/28/2019
Medical Identifiers
Medical identifiers for Tae Gon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538717939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC15772 (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. Tae Gon 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 |
|---|
Tae Gon Kim,
2144 Cittadin Dr,
Fullerton, CA 92833-5757
Ph: (323) 715-3615 | Tae Gon Kim,
5301 Whittier Blvd,
East Los Angeles, CA 90022-4038
Ph: (323) 715-3615 |
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