Individual ProviderVicki J. KongAcupuncturistOther Service ProvidersPractice Address1254 Irvine Blvd, Tustin, CA 92780-3509(714) 669-8845(714) 609-7434PECOS EnrollmentBased on the most recent information from CMS, provider Vicki J. Kong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1063818805Provider TypeIndividualFull NameKong, Vicki J.CredentialL.AC.GenderFemaleSole ProprietorYesEnumeration Date11/6/2014Last Updated11/6/2014Contact InformationPractice LocationPractice Address1254 Irvine Blvd, Tustin, CA 92780-3509Phone(714) 669-8845Fax(714) 669-1438Mailing LocationMailing Address930 N Shaffer St, Orange, CA 92867-5716Phone(714) 609-7434Fax(714) 771-2360Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense16314California