Kyung Ae Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10308 Issued in CA

Practice address

356 S Western Ave
Ste 200
Los Angeles, CA 90020-3805

Phone

(213) 384-1717

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Emanate Health Medical Center

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440
  NPD (past)
• John Huh M D Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1922173442
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164634648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S ARDMORE AVE",
            "address_2": "STE 354",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203330",
            "telephone_number": "213-820-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 S WESTERN AVE",
            "address_2": "STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203805",
            "telephone_number": "213-384-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYUNG",
        "middle_name": "AE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyong Tai Kim, PEER EMPL SPECIALIST
• Kyoung Ae Kim, MD
• Kyoung Chol Kim, MD
• Kyoungjun Kim, PH.D.
• Kyu Min Kim
• Kyung Ha Kim
• Kyung Hee Kim, MFT
• Kyung Hwan Kim, L.AC.
• Kyung Kou Kim, AC
• Kyung Sae Kim, M.D.

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.