Individual ProviderRyon KimAcupuncturistOther Service ProvidersPractice Address151 Yorba St Ste 100, Tustin, CA 92780-2960(714) 743-6570PECOS EnrollmentBased on the most recent information from CMS, provider Ryon 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 4 days ago.Profile DetailsProvider ID1902416399Provider TypeIndividualFull NameKim, RyonCredentialLACGenderMaleSole ProprietorNoEnumeration Date7/31/2020Last Updated7/31/2020Contact InformationPractice LocationPractice Address151 Yorba St Ste 100, Tustin, CA 92780-2960Phone(714) 743-6570FaxUnlisted FaxMailing LocationMailing Address6428 Schubert Cir, Buena Park, CA 90621-3126PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense18897California