Jason Kim | La Habra, CA • PECOS Search

Jason Kim

Acupuncturist

Other Service Providers

1201 S Beach Blvd Ste 107, La Habra, CA 90631-6366

PECOS Enrollment

Based on the most recent information from CMS, provider Jason 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
1881014603
Provider Type
Individual
Full Name
Kim, Jason
Gender
Male

Sole Proprietor
Yes
Enumeration Date
4/19/2014
Last Updated
4/19/2014

Contact Information

Practice Location

1201 S Beach Blvd Ste 107, La Habra, CA 90631-6366

Unlisted Fax

Mailing Location

1201 S Beach Blvd Ste 107, La Habra, CA 90631-6366

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License 13076 California