Active NPI
Min Jae Kim, DC
- Chiropractor
- Fullerton, CA
National Provider Identifier
1013725712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 35252
- Practice address
- 2720 N Harbor Blvd Ste 120
Fullerton, CA 92835-2625 - Phone
- (213) 500-7124
- NPI assigned
- Dec 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 35252 | CA | Primary |
Addresses
Primary practice location
2720 N Harbor Blvd Ste 120
Fullerton, CA 92835-2625
Mailing address
1501 S Beach Blvd Apt L1114
La Habra, CA 90631-1187
Phone (213) 500-7124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Min Jae Kim Hah Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
Locations
1538 W Commonwealth Ave
Ste A
Fullerton, CA 92833
Phone (213) 500-7124
Organizations & group practices 1
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.
-
- Chiropractor
- Fullerton, CA
- NPI 1659222602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1013725712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S BEACH BLVD APT L1114",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906311187",
"telephone_number": "213-500-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 N HARBOR BLVD STE 120",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352625",
"telephone_number": "213-500-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MIN JAE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-27",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "35252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.