TAE KYUNG KIM DC
NPI 1629533666
Chiropractor in Moreno Valley, CA

Active since February 04, 2019
11441 HEACOCK ST STE E, MORENO VALLEY, CA 92557(951) 567-1476 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tae Kyung Kim Dc NPPES

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

TAE KYUNG KIM DC (NPI 1629533666) is an individual chiropractor in Moreno Valley, California, licensed in California (DC28107) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1629533666
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTAE KYUNG KIMCredential: DC
Location Address11441 HEACOCK ST STE EMoreno Valley, CA 92557-7907
Mailing Address11441 Heacock St Ste EMoreno Valley, CA 92557-7907 · (951) 567-1476
Sole ProprietorYes
Enumeration DateFebruary 4, 2019
NPI 1629533666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC28107
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11441 HEACOCK ST STE E, Moreno Valley, CA 92557

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
11441 HEACOCK ST STE E
MORENO VALLEY, CA 92557
Acupuncturist
11441 HEACOCK ST STE E
MORENO VALLEY, CA 92557
Acupuncturist
11441 HEACOCK ST STE E
MORENO VALLEY, CA 92557

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 Tae Kyung Kim's NPI number?

The NPI number for Tae Kyung Kim is 1629533666. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Tae Kyung Kim located?

Tae Kyung Kim practices at 11441 Heacock St Ste E, Moreno Valley, CA 92557. The listed phone number is (951) 567-1476.

What is Tae Kyung Kim's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Tae Kyung Kim accept?

Health plans from Providence Health Plan list Tae Kyung Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tae Kyung Kim was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.