NPIMap

Organization Active NPI

Star Sports & Acupuncture Clinic Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1326582883
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9663 Issued in CA
Legal business name
STAR SPORTS & ACUPUNCTURE CLINIC INC.
Practice address
2426 W 8TH St Ste 101
Los Angeles, CA 90057-3840
Phone
(213) 536-0011
NPI assigned
Dec 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Robin Dong Sik Kim, L.AC, PHDNPI 1598109415
Title
C.E.O
Phone
(213) 536-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC9663 CA Primary

Addresses

Primary practice location

2426 W 8TH St Ste 101
Los Angeles, CA 90057-3840

Mailing address

2426 W 8TH St Ste 101
Los Angeles, CA 90057-3840
Phone (213) 536-0011

National Provider Directory

National Provider Directory

Locations

2426 W 8th St
Ste 101
Los Angeles, CA 90057
Phone (213) 536-0011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1326582883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 W 8TH ST STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573840",
            "telephone_number": "213-536-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 W 8TH ST STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573840",
            "telephone_number": "213-536-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR SPORTS & ACUPUNCTURE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DONG SIK",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "213-536-0011",
        "authorized_official_credential": "L.AC, PHD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9663",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 16, 2016; 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.