Ji Sun Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

12159 Issued in CA

Practice address

1825 Hamner Ave Ste R
Norco, CA 92860-2974

Phone

(951) 582-9700

Fax

(951) 582-9733

NPI assigned

Mar 23, 2011

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

Other names 1

• Jisun Kim Professional name

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1245539758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 HAMNER AVE STE R",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602974",
            "telephone_number": "951-582-9700",
            "fax_number": "951-582-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 HAMNER AVE STE R",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602974",
            "telephone_number": "951-582-9700",
            "fax_number": "951-582-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JI SUN",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12159",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "66733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JISUN",
            "last_name": "KIM",
            "credential": "CMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathleen J Kendra, D.C.
• Gary Allen Kerstetter, D.D.S.
• Kevin Y Kim DDS Inc
• Sun Khil, ACUPUNCTURIST
• Andrea H Kim, OTR/L
• Jorge A. Kim
• Kevin Kim, DDS
• Sharon Kim
• So Hyun Kim
• Lauren Breann King, CCC-SLP

• Acupuncturist in Norco, CA
• Providers in Norco, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; 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.