Joo Yong Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC32052 Issued in CA

Practice address

4959 Palo Verde St Ste 100B
Montclair, CA 91763-2339

Phone

(909) 626-7100

NPI assigned

Dec 20, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• J Kim Chiropractic Corporation

  • Chiropractor
  • Fullerton, CA
  • NPI 1275200438
  NPD

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1013286038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 E LAKE SAMMAMISH PKWY SE",
            "address_2": "STE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298925",
            "telephone_number": "310-415-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 100B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632339",
            "telephone_number": "909-626-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOO YONG",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahram Khorrami, M.D.
• Akinkunmi Adekunle Kilanko
• Sharae Nakia Kilgore
• Jessica Jaehee Kim, PA-C
• John Kim, DO
• Joon Myung Kim, DC
• Marlyn Kim, BCBA
• Aneysha Kimble
• Chelsea Nicole King
• Kylie Kirkwood

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.