Individual ProviderCheol KimAcupuncturistOther Service ProvidersPractice Address1813 W La Habra Blvd, La Habra, CA 90631-5131(562) 691-7345PECOS EnrollmentBased on the most recent information from CMS, provider Cheol 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 34 days ago.Profile DetailsProvider ID1205028834Provider TypeIndividualFull NameKim, CheolGenderMaleSole ProprietorYesEnumeration Date8/17/2007Last Updated8/20/2008Contact InformationPractice LocationPractice Address1813 W La Habra Blvd, La Habra, CA 90631-5131Phone(562) 691-7345Fax(562) 309-8026Mailing LocationMailing Address1813 W La Habra Blvd, La Habra, CA 90631-5131Phone(562) 691-7345Fax(562) 309-8026Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC6730California