Individual ProviderJay KimAcupuncturistOther Service ProvidersPractice Address14511 Franklin Ave # 260, Tustin, CA 92780-7203(714) 512-7336PECOS EnrollmentBased on the most recent information from CMS, provider Jay Kim 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 ID1073948188Provider TypeIndividualFull NameKim, JayGenderMaleSole ProprietorYesEnumeration Date9/9/2013Last Updated9/9/2013Contact InformationPractice LocationPractice Address14511 Franklin Ave # 260, Tustin, CA 92780-7203Phone(714) 512-7336Fax(949) 857-2228Mailing LocationMailing Address14511 Franklin Ave # 260, Tustin, CA 92780-7203Phone(714) 512-7336Fax(949) 857-2228Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC7955California