Individual ProviderHarrison Jongku KimAcupuncturistOther Service ProvidersPractice Address1201 S. Beach Blvd.,, Suite 102, La Habra, CA 90631-9900(502) 902-1010PECOS EnrollmentBased on the most recent information from CMS, provider Harrison Jongku 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 ID1922135698Provider TypeIndividualFull NameKim, Harrison JongkuCredentialL.AC.GenderMaleSole ProprietorNoEnumeration Date2/28/2007Last Updated6/25/2015Contact InformationPractice LocationPractice Address1201 S. Beach Blvd.,, Suite 102, La Habra, CA 90631-9900Phone(502) 902-1010Fax(502) 902-1010Mailing LocationMailing Address1201 S. Beach Blvd.,, Suite 102, La Habra, CA 90631-9900Phone(502) 902-1010Fax(502) 902-1010Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC11009California