Individual provider Active NPI

Koen Woo Kim, LAC, DIPL.O.M

  • Acupuncturist
  • Beverly Hills, CA
National Provider Identifier
1427723071
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
10762 Issued in CA
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

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10762CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Webacu Acupuncture Group Inc Acupuncturist CurrentSince Nov 6, 2022 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.

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.

Verify at the official NPI Registry.