Most Relevant Information
Provider Data
| NPI Number: | 1003574013 |
| Provider Name: | JUNGTAE KIM DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | DC36169 |
Most Important Dates
| Enumeration Date: | 12/07/2021 |
| Last Updated: | 12/07/2021 |
Provider Practice Location
4959 PALO VERDE ST STE 100B
MONTCLAIR
CA
917632339
Practice Location Phone/Fax
| Phone: | 9096267100 |
| Fax: | 9096260123 |
Provider Mailing Location
7400 ARTESIA BLVD APT 207
BUENA PARK
CA
906211893
Provider Mailing Phone/Fax
| Phone: | 2067780848 |
| Fax: |