Provider Demographics
NPI:1013159227
Name:KIM, CHRISTINE MINYEE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MINYEE
Last Name:KIM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 TORRANCE BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4418
Mailing Address - Country:US
Mailing Address - Phone:310-214-1819
Mailing Address - Fax:310-214-1853
Practice Address - Street 1:4305 TORRANCE BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4418
Practice Address - Country:US
Practice Address - Phone:310-214-1819
Practice Address - Fax:310-214-1853
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31200111N00000X
CAAC 14160171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist