Active NPI
Koen Woo Kim, LAC, DIPL.O.M
- Acupuncturist
- Beverly Hills, CA
National Provider Identifier
1427723071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 10762
- Practice address
- 291 S la Cienega Blvd Ste 203
Beverly Hills, CA 90211-3309 - Phone
- (213) 605-0004
- Fax
- (213) 376-1004
- NPI assigned
- Aug 14, 2021
- 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 | 10762 | CA | Primary |
Addresses
Primary practice location
291 S la Cienega Blvd Ste 203
Beverly Hills, CA 90211-3309
Mailing address
291 S la Cienega Blvd Ste 203
Beverly Hills, CA 90211-3309
Phone (213) 605-0004
Other practice location 1
9202 W Pico Blvd
Los Angeles, CA 90035-1319
Phone (213) 605-0004
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 |
|---|---|---|---|
| 10762 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webacu Acupuncture Group Inc | Acupuncturist | Current | Accepting new patients |
Locations
9202 W Pico Blvd
Los Angeles, CA 90035
Phone (213) 605-0004
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 and National Provider Directory roles.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1154038701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1427723071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 S LA CIENEGA BLVD STE 203",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113309",
"telephone_number": "213-605-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 S LA CIENEGA BLVD STE 203",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113309",
"telephone_number": "213-605-0004",
"fax_number": "213-376-1004"
}
],
"practiceLocations": [
{
"address_1": "9202 W Pico Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900351319",
"country_code": "US",
"telephone_number": "213-605-0004",
"fax_number": "213-376-1004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "KOEN WOO",
"credential": "LAC, DIPL.O.M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-14",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "10762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.