Sean Kim Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29494 Issued in CA

Legal business name

SEAN KIM CHIROPRACTIC INC.

Practice address

9240 Garden Grove Blvd Ste 2
Garden Grove, CA 92844-1400

Phone

(714) 610-7575

Fax

(714) 534-2994

NPI assigned

May 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Seon Hoon Sean Kim, D.C.NPI 1609822857

Title

President

Phone

(714) 610-7575

Specialties & licenses 1

Addresses

Other names 1

• Fountain Spine Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Seonhoon Sean Kim, D.C.

  • Chiropractor
  • Garden Grove, CA
  • NPI 1609822857
  Medicare reassignment NPD Authorized official
• Sang Yun Shin, L.AC.

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1578799987
  NPD (past)

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

{
    "created_epoch": "1242432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1386879682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 GARDEN GROVE BLVD STE 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441400",
            "telephone_number": "714-610-7575",
            "fax_number": "714-534-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 GARDEN GROVE BLVD STE 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441400",
            "telephone_number": "714-610-7575",
            "fax_number": "714-534-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN KIM CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-16",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEON HOON",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-610-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane M. Scott, D.C.
• Takara Scott
• Julie Scudellari
• SDC Clinic Inc
• SE-Young Lee MD Inc
• Sean Leson DO MPH PC
• Katherine Grace Segura
• Sharanya Sekhri, SLP
• Select Multi Specialty Medical Care
• Keana Sempek

• Chiropractor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.