Il Hwan Kim | La Habra, CA • PECOS Search

Il Hwan Kim

Acupuncturist

Other Service Providers

422 W La Habra Blvd, La Habra, CA 90631-5408

PECOS Enrollment

Based on the most recent information from CMS, provider Il Hwan 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 34 days ago.

Profile Details

Provider ID
1649738535
Provider Type
Individual
Full Name
Kim, Il Hwan
Gender
Male

Sole Proprietor
Yes
Enumeration Date
3/9/2019
Last Updated
2/19/2025

Contact Information

Practice Location

422 W La Habra Blvd, La Habra, CA 90631-5408

Unlisted Fax

Mailing Location

422 W La Habra Blvd, La Habra, CA 90631-5408

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC18419 California