Active NPI
Jun Woo Kim
- Acupuncturist
- Gardena, CA
National Provider Identifier
1407393580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC16949
- Practice address
- 1251 W Redondo Beach Blvd FL 3
Gardena, CA 90247-3464 - Phone
- (310) 965-0500
- Fax
- (310) 965-0055
- NPI assigned
- Jan 26, 2017
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC16949 | CA | Primary |
Addresses
Primary practice location
1251 W Redondo Beach Blvd FL 3
Gardena, CA 90247-3464
Mailing address
1251 W Redondo Beach Blvd FL 3
Gardena, CA 90247-3464
Phone (310) 965-0500
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 |
|---|---|---|---|
| AC16949 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1407393580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 W REDONDO BEACH BLVD FL 3",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473464",
"telephone_number": "310-965-0500",
"fax_number": "310-965-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 W REDONDO BEACH BLVD FL 3",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473464",
"telephone_number": "310-965-0500",
"fax_number": "310-965-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JUN WOO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-26",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC16949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.