Soo Ouk Kim, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC500226 Issued in DC

Practice address

700 19TH St NW RM O-715
Washington, DC 20431-0001

Phone

(202) 802-0296

NPI assigned

May 9, 2012

Sex

Male

Sole proprietor

No

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

Locations

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.

• Sunflower Acupuncture & Wellness LLC

  • Acupuncturist
  • Washington, DC
  • NPI 1770209108
  NPD Authorized official

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1003175290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 19TH ST NW RM O-715",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204310001",
            "telephone_number": "202-802-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 19TH ST NW RM O-715",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204310001",
            "telephone_number": "202-802-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOO OUK",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14487",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC500226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Soyoun Kim, MD
• Sanha Kim
• Sara Soyeon Kim, PA-C
• Sarah Kim
• Shelia Kim
• Sun Kim, OD
• Sun a Kim, MD, PHD
• Sunny Y Kim, M.D.
• Taeksoo Kim, MSW/LGSW
• Tom J Kim, MD

• Acupuncturist in Washington, DC
• Providers in Washington, DC by specialty
• Acupuncturist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.