Active NPI
Jae Pil Kim, L.AC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1407185952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 12336
- Practice address
- 9911 W Pico Blvd
Suite200 Studio49
Los Angeles, CA 90035-2703 - Phone
- (310) 553-3838
- Fax
- (213) 427-3557
- NPI assigned
- Dec 11, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 12336 | CA | Primary |
Addresses
Primary practice location
9911 W Pico Blvd
Suite200 Studio49
Los Angeles, CA 90035-2703
Mailing address
9911 W Pico Blvd
Suite200 Studio49
Los Angeles, CA 90035-2703
Phone (310) 553-3838
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 |
|---|---|---|---|
| AC 12336 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1407185952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9911 W PICO BLVD",
"address_2": "SUITE200 STUDIO49",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352703",
"telephone_number": "310-553-3838",
"fax_number": "213-427-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9911 W PICO BLVD",
"address_2": "SUITE200 STUDIO49",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352703",
"telephone_number": "310-553-3838",
"fax_number": "213-427-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAE PIL",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-11",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 12336",
"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 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.