Individual ProviderDae Yong KimAcupuncturistOther Service ProvidersPractice Address412 W Whittier Blvd, La Habra, CA 90631-3736(562) 697-7154PECOS EnrollmentBased on the most recent information from CMS, provider Dae Yong 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 ID1609050400Provider TypeIndividualFull NameKim, Dae YongTitleMr.CredentialL.AC.GenderMaleSole ProprietorYesEnumeration Date12/28/2007Last Updated2/1/2010Contact InformationPractice LocationPractice Address412 W Whittier Blvd, La Habra, CA 90631-3736Phone(562) 697-7154Fax(562) 697-7863Mailing LocationMailing Address412 W Whittier Blvd, La Habra, CA 90631-3736Phone(562) 697-7154Fax(562) 697-7863Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC11454California