Provider Demographics
NPI:1275285405
Name:ALEX KIM ACUPUNCTURE &HERBAL MEDICINE LLC
Entity Type:Organization
Organization Name:ALEX KIM ACUPUNCTURE &HERBAL MEDICINE LLC
Other - Org Name:ALEX KIM ACUPUNCTURE &HERBAL MEDICINE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-219-5355
Mailing Address - Street 1:1520 LILIHA ST STE 402
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3563
Mailing Address - Country:US
Mailing Address - Phone:808-744-6448
Mailing Address - Fax:
Practice Address - Street 1:1520 LILIHA ST STE 402
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3563
Practice Address - Country:US
Practice Address - Phone:808-744-6448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEX KIM ACUPUNCTURE &HERBAL MEDICINE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-19
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIACU-1344OtherACUPUNCTURE