Individual provider Active NPI

Jung K Kim, L.AC.

  • Acupuncturist
  • Burbank, CA
National Provider Identifier
1184653693
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8065 Issued in CA
Practice address
1510 W Verdugo Ave Ste D
Burbank, CA 91506-2473
Phone
(818) 558-7146
Fax
(818) 558-7217
NPI assigned
Jun 30, 2006
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8065 CA Primary

Addresses

Primary practice location

1510 W Verdugo Ave Ste D
Burbank, CA 91506-2473

Mailing address

1510 W Verdugo Ave Ste D
Burbank, CA 91506-2473
Phone (818) 558-7146

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

State licenses

LicenseStateTypeSpecialty
AC8065CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Living Acupuncture Acupuncturist CurrentSince Aug 7, 2022 Accepting new patients

Locations

1510 W Verdugo Ave
Ste D
Burbank, CA 91506
Phone (818) 558-7146

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1184653693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W VERDUGO AVE STE D",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062473",
            "telephone_number": "818-558-7146",
            "fax_number": "818-558-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W VERDUGO AVE STE D",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062473",
            "telephone_number": "818-558-7146",
            "fax_number": "818-558-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG",
        "middle_name": "K",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.