Active NPI
Yoon Chan Kim, L.AC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1053695817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11196
- Practice address
- 2865 W 7TH St
Los Angeles, CA 90005-3907 - Phone
- (909) 573-5082
- NPI assigned
- Sep 28, 2011
- Last updated
- Sep 28, 2011
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC11196 | CA | Primary |
Addresses
Primary practice location
2865 W 7TH St
Los Angeles, CA 90005-3907
Mailing address
5152 Fox Hall Rd
Chino Hills, CA 91709-4914
Phone (909) 573-5082
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 |
|---|---|---|---|
| AC11196 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1053695817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5152 FOX HALL RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917094914",
"telephone_number": "909-573-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 W 7TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900053907",
"telephone_number": "909-573-5082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YOON CHAN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11196",
"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 Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.