Chel Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11202 Issued in CA

Practice address

1400 N Harbor Blvd Ste 120
Fullerton, CA 92835-4110

Phone

(714) 773-7000

Fax

(714) 870-5028

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Nuvida KMC

  • Acupuncturist
  • Fullerton, CA
  • NPI 1851540009
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1265629257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 120",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354110",
            "telephone_number": "714-773-7000",
            "fax_number": "714-870-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 120",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354110",
            "telephone_number": "714-773-7000",
            "fax_number": "714-870-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHEL",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Eunji Kim
• Audrey Kim
• Byoung Joon Kim, DDS
• Changbae Kim, L.AC
• Chansomolly Kim, BA
• Christine Yelin Kim
• Clara Kim, DDS
• Connie Kim, M.A., O.T.R./L.
• Dae Hee Kim, D.C.
• Daniel Kim, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.