Yoon Kyung Shim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

13390 Issued in CA

Practice address

8033 Old York Rd Ste 203a
Elkins Park, PA 19027-1422

Phone

(267) 307-3114

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1174859326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 NOBLE RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462314",
            "telephone_number": "267-307-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 OLD YORK RD STE 203A",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271422",
            "telephone_number": "267-307-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "YOON KYUNG",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13390",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaelyn Lou Shaver, PA-C
• Alexandrina Rosita Shaw, OTRL
• Shelley Z Goodman
• Shelley Z Goodman PHD
• Hongxie Shen, MD
• Sebastian Seunghoon Shin, D.C.
• Matthew Shore, D.O.
• Erica H Siegel, MA CCC-SLP
• Cynthia Grossel Silber, M.D.
• Silverbird Home Care Services LLC

• Acupuncturist in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Acupuncturist in Pennsylvania

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

Verify at the official NPI Registry.