Provider Demographics
NPI:1235350349
Name:KIM, JOY UNCHONG (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:UNCHONG
Last Name:KIM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 E PALMER AVE APT 219
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-3542
Mailing Address - Country:US
Mailing Address - Phone:213-249-1888
Mailing Address - Fax:818-502-1976
Practice Address - Street 1:6200 WILSHIRE BLVD
Practice Address - Street 2:SUITE 1708
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5801
Practice Address - Country:US
Practice Address - Phone:213-249-1888
Practice Address - Fax:323-939-0070
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 11369171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist