Individual ProviderEun Hee KimAcupuncturistOther Service ProvidersPractice Address200 S Beach Blvd Unit B, La Habra, CA 90631-5180(714) 261-0871(650) 771-7254PECOS EnrollmentBased on the most recent information from CMS, provider Eun Hee 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 ID1700322062Provider TypeIndividualFull NameKim, Eun HeeCredentialL.ACGenderFemaleSole ProprietorYesEnumeration Date1/11/2017Last Updated7/16/2021Contact InformationPractice LocationPractice Address200 S Beach Blvd Unit B, La Habra, CA 90631-5180Phone(714) 261-0871FaxUnlisted FaxMailing LocationMailing Address3216 El Camino Real Ste 9, Santa Clara, CA 95051-2871Phone(650) 771-7254FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC 13525CaliforniaProvider IdentifiersIDDescriptionIssuerIDAC 13525DescriptionOtherIssuerCA LICENSED ACUPUNCTURISTCalifornia