Active NPI
Yoojin Kim, L.AC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1285771337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9527
- Practice address
- 11704 Wilshire Blvd
Suite 265
Los Angeles, CA 90025-1507 - Phone
- (310) 444-0058
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 | AC9527 | CA | Primary |
Addresses
Primary practice location
11704 Wilshire Blvd
Suite 265
Los Angeles, CA 90025-1507
Mailing address
628 Fairview Ave Apt 12
Arcadia, CA 91007-6766
Phone (213) 210-4736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC9527 | Other | CA | ACUPUNCTURIST |
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 |
|---|---|---|---|
| AC9527 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yong Hwan Park, DC | Past | Accepting new patients |
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.
-
- Chiropractor
- Los Angeles, CA
- NPI 1811104631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285771337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 FAIRVIEW AVE APT 12",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910076766",
"telephone_number": "213-210-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11704 WILSHIRE BLVD",
"address_2": "SUITE 265",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251507",
"telephone_number": "310-444-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YOOJIN",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURIST",
"identifier": "AC9527",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.