Sung Soo Kim, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC15575 Issued in CA

Practice address

1101 Dove St Ste 270
Newport Beach, CA 92660-2819

Phone

(949) 615-9117

NPI assigned

Dec 13, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mike Sung Soo Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• SSK Acupuncture

  • Acupuncturist
  • Anaheim, CA
  • NPI 1285561944
  NPD Authorized official

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1225459472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24101 HOLLYOAK APT C",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926567904",
            "telephone_number": "949-615-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DOVE ST STE 270",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602819",
            "telephone_number": "949-615-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG SOO",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-13",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU 490",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "KIM",
            "middle_name": "SUNG SOO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ruby Bora Kim
• SE-Young Kim
• Sook H Kim, D.O.
• Sora Kim, PHARM D.
• Suhyun Kim
• Yang Ja Kim, M.D.
• Kimiko Snider,M.D.,Inc
• Anthony Michael King II
• Connor King, DO
• Elaine King, MD

• Acupuncturist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.