Monica Jung Lee Kim, L.AC. DAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4116 Issued in CA

Practice address

1712 Ocean Park Blvd
Santa Monica, CA 90405-4902

Phone

(310) 396-8085

NPI assigned

Aug 22, 2011

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1407136419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 OCEAN PARK BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054902",
            "telephone_number": "310-396-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 OCEAN PARK BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054902",
            "telephone_number": "310-396-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE KIM",
        "first_name": "MONICA",
        "middle_name": "JUNG",
        "name_prefix": "Ms.",
        "credential": "L.AC. DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "4116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Marie Ledbetter, FNP-C
• Blanca Araceli Ledezma, MSN, NP
• Ellen G Ledley, LCSW
• Lee Chiropractic & Rehab Wellness Center (Pacific Chiropractic & Rehab Center)
• Lee Chiropractic & Rehab Wellness Center (Pacific Chiropractic)
• Alan C Lee, MD
• Annji Y. Lee, A.C.
• Calvin Lee
• Catherine Lee, M.D.
• Dae Hyeon Lee

• Acupuncturist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.