Active NPI
Stella Ki Kim, L.AC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1033812813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC19668
- Practice address
- 2001 S Barrington Ave Ste 305
Los Angeles, CA 90025-5379 - Phone
- (310) 405-1610
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC19668 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave Ste 305
Los Angeles, CA 90025-5379
Mailing address
1310 Wellesley Ave Apt 108
Los Angeles, CA 90025-2096
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC19668 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yingtcm, an Acupuncture Corporation | Acupuncturist | Current | Accepting new patients |
Locations
2001 S Barrington Ave
Ste 305
Los Angeles, CA 90025
Phone (310) 405-1610
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.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1003278508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1033812813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 WELLESLEY AVE APT 108",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE STE 305",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255379",
"telephone_number": "310-405-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "STELLA",
"middle_name": "KI",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC19668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.