Sang Eon Kim, D.C., LAC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC30142 Issued in CA

Practice address

693 E Remington Dr
Suite a
Sunnyvale, CA 94087-1977

Phone

(408) 720-8892

Fax

(408) 720-8298

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sang Eon Kim Chiropractic, Inc

  • Chiropractor
  • Sunnyvale, CA
  • NPI 1225465008
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1003071663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 E REMINGTON DR",
            "address_2": "SUITE A",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871977",
            "telephone_number": "408-720-8892",
            "fax_number": "408-720-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 E REMINGTON DR",
            "address_2": "SUITE A",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871977",
            "telephone_number": "408-720-8892",
            "fax_number": "408-720-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SANG",
        "middle_name": "EON",
        "credential": "D.C., LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30142",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly H Kim, DDS PHD
• Lauri Jiah Kim, D.D.S., M.S.D.
• Leslie Kim, DDS
• Miae Chung Kim, O.D.
• Min Jeong Kim, DDS
• Son Kim
• Steven Sukho Kim, M.D.
• Taehee Kim, L.AC.
• Yong Hun Kim, L.A.C.
• Young Joo Kim, L.AC

• Chiropractor in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.