Stella Ki Kim | Los Angeles, CA • PECOS Search

Stella Ki Kim

Acupuncturist

Other Service Providers

2001 S Barrington Ave Ste 305, Los Angeles, CA 90025-5379

PECOS Enrollment

Based on the most recent information from CMS, provider Stella Ki Kim does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033812813
Provider Type
Individual
Full Name
Kim, Stella Ki
Credential
L.AC.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/22/2023
Last Updated
3/22/2023

Contact Information

Practice Location

2001 S Barrington Ave Ste 305, Los Angeles, CA 90025-5379

Unlisted Fax

Mailing Location

1310 Wellesley Ave Apt 108, Los Angeles, CA 90025-2096

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC19668 California