Active NPI
Cathleen In Sook Kim, M.A.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1174837512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC13376
- Practice address
- 1131 S Mariposa Ave
Los Angeles, CA 90006 - Phone
- (503) 516-8170
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC13376 | CA | Primary |
Addresses
Primary practice location
1131 S Mariposa Ave
Los Angeles, CA 90006
Mailing address
1131 S Mariposa Ave
Los Angeles, CA 90006
Phone (503) 516-8170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC13376 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1174837512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 S MARIPOSA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "503-516-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 S MARIPOSA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "503-516-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CATHLEEN",
"middle_name": "IN SOOK",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.