Young Mi Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC17489 Issued in CA

Practice address

1121 Via Verde
San Dimas, CA 91773

Phone

(909) 833-1353

NPI assigned

May 25, 2017

Last updated

Apr 4, 2019By 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

State licenses

Practice roles

Locations

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.

• Sol Acupuncture Clinic Inc

  dba Sol Acupuncture Clinic

  • Acupuncturist
  • San Dimas, CA
  • NPI 1932892288
  NPD Authorized official

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1417485020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734400",
            "telephone_number": "909-833-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "909-833-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Via Verde",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917734400",
            "country_code": "US",
            "telephone_number": "909-833-1353",
            "fax_number": "888-791-8165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG MI",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Kim, OT
• Brina Kim
• Crystal Kim, RPH
• Jessie Kim
• Joanne Jae Kim
• Kinetics Physical Therapy Prof Corp
• Emily Clark King, M.D.
• Jordan Alexandra Kitt, RN, NP
• Jack A Koch, DPM
• Brenna R Koenig

• Acupuncturist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.