Purim Acupuncture & Herb Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PURIM ACUPUNCTURE & HERB CLINIC

Practice address

18623 Highway 99 Ste 260
Lynnwood, WA 98037-4555

Phone

(425) 273-0023

Fax

(425) 491-7791

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jin Ho Kim, LACNPI 1790348886

Title

Director

Phone

(425) 273-0023

Specialties & licenses 1

Addresses

Other names 1

• Grace Well Acupuncture Other name

Locations

Practitioners 1

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

• Jin Ho Kim, EAMP, LAC.

  • Acupuncturist
  • Lynnwood, WA
  • NPI 1790348886
  NPD Authorized official

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1104477868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18623 HIGHWAY 99 STE 260",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374555",
            "telephone_number": "425-273-0023",
            "fax_number": "425-491-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18623 HIGHWAY 99 STE 260",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374555",
            "telephone_number": "425-273-0023",
            "fax_number": "425-491-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURIM ACUPUNCTURE & HERB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-273-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Well Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dain Propst
• Harold W. Prow Jr., MD
• Psychiatric Wellness & Dementia Care,LLC
• Puget Sound Gastroenterology, PLLC
• Pure Speech Pathology LLC
• Qi-Fen Holistic Healing Massage
• Shannon Lynne Quenzer, LMP
• Chanelle Starr Quinn
• Jazmin Quinones
• Tammy Star Quintanar, LMP

• Health Service Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.