Provider Demographics
NPI:1619309754
Name:BRIAN KIM ACUPUNCTURE CLINIC INC
Entity Type:Organization
Organization Name:BRIAN KIM ACUPUNCTURE CLINIC INC
Other - Org Name:ACUPUNCTURE OF AMERICA BAKERSFIELD WELLBEING BIOMEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, PHD
Authorized Official - Phone:661-847-9717
Mailing Address - Street 1:9900 STOCKDALE HWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3632
Mailing Address - Country:US
Mailing Address - Phone:661-847-9717
Mailing Address - Fax:661-847-9718
Practice Address - Street 1:9900 STOCKDALE HWY
Practice Address - Street 2:SUITE 204
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3632
Practice Address - Country:US
Practice Address - Phone:661-847-9717
Practice Address - Fax:661-847-9718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty