Taehyang Kim, LA.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

13814 Issued in CA

Practice address

18062 Irvine Blvd Ste 100
Tustin, CA 92780-3328

Phone

(949) 812-9457

NPI assigned

Jan 14, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Tae Acupuncture Corp

  dba Tae Oriental Medicine

  • Acupuncturist
  • Palm Desert, CA
  • NPI 1417660796
  NPD Authorized official

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1174828578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18062 IRVINE BLVD STE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803328",
            "telephone_number": "949-812-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18062 IRVINE BLVD STE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803328",
            "telephone_number": "949-812-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAEHYANG",
        "credential": "LA.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE BOARD",
            "identifier": "13814",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Sungsoo Kim, FNP-BC
• Ryon Kim, LAC
• Sung-Woong Kim, M.D.
• Sunnam Kim, L.AC.
• Susie Kim, MD
• Madolor King, RN
• Vijaykumar Ramchandra Kini, MD
• Kinship Center
• Kinship Health at Home Inc
• Angela Irving Kirkman, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.