Dr Chang K Kim, LAC, OMD, PH D is a
Acupuncturist based in Marina, California. Dr Chang K Kim is licensed to practice in California (license number AC 1513) and his current practice location is
326 Reservation Rd, Suite E, Marina, California. He can be reached at his office (for appointments etc.) via phone at
(831) 384-2313.
NPI number for Dr Chang K Kim is 1568641199 and his current mailing address is 326 Reservation Rd, Suite E, Marina, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568641199.
Healthcare Provider's Profile
| Full Name | Dr Chang K Kim |
|---|
| Gender | Male |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 326 Reservation Rd, Marina, 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: 1568641199
- Provider Enumeration Date: 10/31/2007
- Last Update Date: 10/31/2007
Medical Identifiers
Medical identifiers for Dr Chang K Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568641199 | NPI | - | NPPES |
| AC 1513 | Other | CA | CA MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC 1513 (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. Dr Chang K 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 |
|---|
Dr Chang K Kim, LAC, OMD, PH D
326 Reservation Rd, Suite E,
Marina, CA 93933-3257
Ph: (831) 384-2313 | Dr Chang K Kim, LAC, OMD, PH D
326 Reservation Rd, Suite E,
Marina, CA 93933-3257
Ph: (831) 384-2313 |
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