Active NPI
Janghoi Kim, L.AC.
- Acupuncturist
- Fullerton, CA
National Provider Identifier
1275834715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 13310
- Practice address
- 1542 Evergreen Ave
Fullerton, CA 92835-2029 - Phone
- (714) 397-8571
- NPI assigned
- Nov 16, 2010
- 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 | AC 13310 | CA | Primary |
Addresses
Primary practice location
1542 Evergreen Ave
Fullerton, CA 92835-2029
Mailing address
1542 Evergreen Ave
Fullerton, CA 92835-2029
Phone (714) 397-8571
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 13310 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1275834715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 EVERGREEN AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352029",
"telephone_number": "714-397-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 EVERGREEN AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352029",
"telephone_number": "714-397-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JANGHOI",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-16",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 13310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.