Provider Demographics
NPI:1629212360
Name:A. KIM CHIROPRACTIC CORP.
Entity Type:Organization
Organization Name:A. KIM CHIROPRACTIC CORP.
Other - Org Name:ATLAS HEALTH CLINIC APPLE VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAMJIN
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-242-4579
Mailing Address - Street 1:18002 WIKA RD
Mailing Address - Street 2:# A
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2125
Mailing Address - Country:US
Mailing Address - Phone:760-242-4579
Mailing Address - Fax:760-242-4762
Practice Address - Street 1:18002 WIKA RD
Practice Address - Street 2:# A
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2125
Practice Address - Country:US
Practice Address - Phone:760-242-4579
Practice Address - Fax:760-242-4762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-29550111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty