Healing Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

12534 Issued in CA

Legal business name

HEALING ACUPUNCTURE

Practice address

37553 Fremont Blvd
Fremont, CA 94536-3706

Phone

(510) 386-2071

Fax

(510) 797-1157

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kyung Sik Kim, LAC, MS.NPI 1902139934

Title

Acupuncturist

Phone

(510) 386-2071

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyung Sik Kim, LAC

  • Acupuncturist
  • Fremont, CA
  • NPI 1902139934
  NPD (past) Authorized official

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1083965263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 SOUTHWYCKE TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945361960",
            "telephone_number": "510-386-2071",
            "fax_number": "510-797-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37553 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363706",
            "telephone_number": "510-386-2071",
            "fax_number": "510-797-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_middle_name": "SIK",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "510-386-2071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, MS."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  FOR INDIVIDUAL",
            "identifier": "1902139934",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Evelyn E. Hazlett, MD
• Merle Healer, HHA
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• Healthessentials, LLC
• Healthsource Global

• Acupuncturist in Fremont, CA
• Providers in Fremont, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.