Provider Demographics
NPI:1285892083
Name:KIM, HUN HEE (L'AC)
Entity type:Individual
Prefix:DR
First Name:HUN
Middle Name:HEE
Last Name:KIM
Suffix:
Gender:F
Credentials:L'AC
Other - Prefix:DR
Other - First Name:HUN
Other - Middle Name:HEE
Other - Last Name:PARK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:L'AC
Mailing Address - Street 1:6431 LOS ROBLES AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-3048
Mailing Address - Country:US
Mailing Address - Phone:714-690-0133
Mailing Address - Fax:
Practice Address - Street 1:6431 LOS ROBLES AVE APT 1
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-3048
Practice Address - Country:US
Practice Address - Phone:714-690-0133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10603171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist