Active NPI
Han Jin Kim, D.C, L.AC
- Chiropractor
- El Monte, CA
National Provider Identifier
1376987149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31873
- Practice address
- 4703 Peck Rd
El Monte, CA 91732-1309 - Phone
- (626) 226-3712
- Fax
- (626) 582-8664
- NPI assigned
- Apr 24, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31873 | CA | Primary |
| Acupuncturist | 171100000X | 14083 | CA |
Addresses
Primary practice location
4703 Peck Rd
El Monte, CA 91732-1309
Mailing address
4703 Peck Rd
El Monte, CA 91732-1309
Phone (626) 226-3712
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 |
|---|---|---|---|
| 31873 | CA | MD | Dental Hygienist |
| 14083 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1376987149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4703 PECK RD",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917321309",
"telephone_number": "626-226-3712",
"fax_number": "626-582-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4703 PECK RD",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917321309",
"telephone_number": "626-226-3712",
"fax_number": "626-582-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HAN JIN",
"credential": "D.C, L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31873",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.