Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jong Wan Kim

Individual provider Acupuncturist · NPI 1588406011

Jong Wan Kim is an Acupuncturist in Upland, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1904 N Tulare Way
Upland, CA 91784-1619
Phone: (213) 800-5311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC15624 (CA)

Record details

NPI number1588406011
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address1904 N Tulare Way, Upland, CA 91784-1619

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