Elliot Heejae Kim, ACUPUNCTURE

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

12044 Issued in CA

Practice address

8253 Sierra Ave Ste 205
Fontana, CA 92335-3577

Phone

(909) 320-2844

Fax

(909) 357-1244

NPI assigned

Dec 31, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093990764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8253 SIERRA AVE STE 205",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353577",
            "telephone_number": "909-320-2844",
            "fax_number": "909-357-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8253 SIERRA AVE STE 205",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353577",
            "telephone_number": "909-320-2844",
            "fax_number": "909-357-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8253 Sierra Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923353577",
            "country_code": "US",
            "telephone_number": "909-320-2844",
            "fax_number": "909-350-6588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18777 Colima Rd",
            "address_purpose": "LOCATION",
            "city": "Rowland Heights",
            "state": "CA",
            "postal_code": "917482949",
            "country_code": "US",
            "telephone_number": "626-810-0014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18777 Colima Rd",
            "address_purpose": "LOCATION",
            "city": "Rowland Heights",
            "state": "CA",
            "postal_code": "917482949",
            "country_code": "US",
            "telephone_number": "626-810-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ELLIOT",
        "middle_name": "HEEJAE",
        "name_prefix": "Dr.",
        "credential": "ACUPUNCTURE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AC",
            "identifier": "12044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne L. Killeen, MD
• Bo Kim, PHARM.D.
• Catherine Ming Hsia Kim, MD
• Cecilia Y. Kim, MD
• David Yunkeun Kim, PHARMD
• Elnura Kim
• Eugene Kim, M.D.
• Fabiana Sung Hyun Kim, MD
• Hannah Suh Kim, P.A.
• Hoon Kim, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.