Active NPI
Kyung Un Min, D.C.
- Chiropractor
- Granada Hills, CA
National Provider Identifier
1396939930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 28006
- Practice address
- 17050 Chatsworth St Ste 115
Granada Hills, CA 91344-5888 - Phone
- (818) 832-0897
- Fax
- (818) 832-3076
- NPI assigned
- Aug 28, 2007
- Last updated
- Aug 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 28006 | CA | Primary |
Addresses
Primary practice location
17050 Chatsworth St Ste 115
Granada Hills, CA 91344-5888
Mailing address
17050 Chatsworth St Ste 115
Granada Hills, CA 91344-5888
Phone (818) 832-0897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060201000814 | CA | Practitioner - Chiropractic | 6800800574 | Practice locations: Los Angeles, CA; Granada Hills, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17050 Chatsworth St
Suite 115
Granada Hills, CA 91344-5888
Phone (818) 832-0897
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 28006 | CA | MD | Chiropractor |
| 28006 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Roh Chiropractic Group Inc | Chiropractor | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Union Roh Chiropractic Group
- Chiropractor
- Los Angeles, CA
- NPI 1083920144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1396939930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17050 CHATSWORTH ST STE 115",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445888",
"telephone_number": "818-832-0897",
"fax_number": "818-832-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17050 CHATSWORTH ST STE 115",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445888",
"telephone_number": "818-832-0897",
"fax_number": "818-832-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "KYUNG",
"middle_name": "UN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 28006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.