DR. CHUNG SOO KIM AC
NPI 1619435765
Acupuncturist in Walnut, CA

Active since March 07, 2019
21217 WASHINGTON AVE SPC 13, WALNUT, CA 91789(909) 630-9005(818) 855-8061 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Chung Soo Kim Ac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHUNG SOO KIM AC (NPI 1619435765) is an individual acupuncturist in Walnut, California, licensed in California (AC18430) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1619435765
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameDR. CHUNG SOO KIMCredential: AC
Location Address21217 WASHINGTON AVE SPC 13Walnut, CA 91789-3300
Mailing Address21217 Washington Ave Spc 13Walnut, CA 91789-3300 · (909) 630-9005 · Fax (818) 855-8061
Fax(818) 855-8061
Sole ProprietorYes
Enumeration DateMarch 7, 2019
NPI 1619435765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in CA · AC18430
Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

21217 WASHINGTON AVE SPC 13, Walnut, CA 91789

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chung Kim's NPI number?

The NPI number for Chung Kim is 1619435765. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Where is Chung Kim located?

Chung Kim practices at 21217 Washington Ave Spc 13, Walnut, CA 91789. The listed phone number is (909) 630-9005.

What is Chung Kim's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Chung Kim was last updated on March 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.