Active NPI
DO Jun Kim
- Acupuncturist
- Norwalk, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12676
- Practice address
- 11637 The PLZ # 46
Norwalk, CA 90650-3930 - Phone
- (310) 422-2637
- NPI assigned
- Jun 27, 2021
- Sex
- Male
- 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 | AC12676 | CA | Primary |
Addresses
Primary practice location
11637 The PLZ # 46
Norwalk, CA 90650-3930
Mailing address
8091 Hickory Dr
Buena Park, CA 90620-2225
Phone (310) 422-2637
Other practice location 1
1706 W Orangethorpe Ave Ste D
Fullerton, CA 92833-4556
Phone (310) 422-2637
Other names 1
- Dojun Kim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Physician Type (Specify)
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7235 Orangethorpe Ave
Buena Park, CA 90621-3311
8091 Hickory Dr
Buena Park, CA 90620-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC12676 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DK Acupuncture, Inc. | Acupuncturist | Current | Accepting new patients |
Locations
7235 Orangethorpe Ave
Buena Park, CA 90621
Phone (714) 735-9735
11637 The Plz
#46
Norwalk, CA 90650
Phone (310) 422-2637
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624752000000",
"number": "1205406840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8091 HICKORY DR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202225",
"telephone_number": "310-422-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11637 THE PLZ # 46",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503930",
"telephone_number": "310-422-2637"
}
],
"practiceLocations": [
{
"address_1": "1706 W Orangethorpe Ave Ste D",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928334556",
"country_code": "US",
"telephone_number": "310-422-2637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "DO JUN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-27",
"last_updated": "2021-06-27",
"certification_date": "2021-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOJUN",
"last_name": "KIM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.