Individual provider Active NPI

Hyung Sub Kim, L.AC

  • Acupuncturist
  • Temecula, CA
National Provider Identifier
1326177577
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 7320 Issued in CA
Practice address
28999 Old Town Front St
Suite 101
Temecula, CA 92590-5805
Phone
(951) 693-3345
Fax
(951) 693-3345
NPI assigned
Mar 5, 2007
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 7320 CA Primary

Addresses

Primary practice location

28999 Old Town Front St
Suite 101
Temecula, CA 92590-5805

Mailing address

28999 Old Town Front St
Suite 101
Temecula, CA 92590-5805
Phone (951) 693-3345

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

LicenseStateTypeSpecialty
AC 7320CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1326177577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28999 OLD TOWN FRONT ST",
            "address_2": "SUITE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905805",
            "telephone_number": "951-693-3345",
            "fax_number": "951-693-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28999 OLD TOWN FRONT ST",
            "address_2": "SUITE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905805",
            "telephone_number": "951-693-3345",
            "fax_number": "951-693-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNG",
        "middle_name": "SUB",
        "name_prefix": "Prof.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 7320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.