Individual ProviderChangok KimAcupuncturistOther Service ProvidersPractice Address1230 W Imperial Hwy, Ste# H, La Habra, CA 90631-6987(562) 697-1878PECOS EnrollmentBased on the most recent information from CMS, provider Changok 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 ID1669651634Provider TypeIndividualFull NameKim, ChangokTitleDr.CredentialL.AC,NCCAOM.PH.DGenderFemaleSole ProprietorYesEnumeration Date10/26/2007Last Updated3/26/2008Contact InformationPractice LocationPractice Address1230 W Imperial Hwy, Ste# H, La Habra, CA 90631-6987Phone(562) 697-1878Fax(562) 309-8279Mailing LocationMailing Address1230 W Imperial Hwy, Ste# H, La Habra, CA 90631-6987Phone(562) 697-1878Fax(562) 309-8279Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC 8450California