Individual provider Active NPI

June Kim, ACUPUNCTURIST

  • Acupuncturist
  • Diamond Bar, CA
National Provider Identifier
1427829290
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC19630 Issued in CA
Practice address
22640 Golden Springs Dr Ste B
Diamond Bar, CA 91765-2200
Phone
(213) 518-4635
NPI assigned
Jan 11, 2024
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 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 AC19630 CA Primary

Addresses

Primary practice location

22640 Golden Springs Dr Ste B
Diamond Bar, CA 91765-2200

Mailing address

910 S Wilton PL Apt 1
Los Angeles, CA 90019-2128
Phone (213) 322-9710

Other practice location 1

3544 W Olympic Blvd # 101
Los Angeles, CA 90019-3500
Phone (213) 322-9710

Other practice location 2

975 S Vermont Ave Ste 201
Los Angeles, CA 90006-5907
Phone (213) 518-4635

Other names 1

  • Mr. June Kim Professional name

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
AC19630CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Shalom Acupuncture Acupuncturist CurrentSince Mar 11, 2025 Accepting new patients

Locations

22640 Golden Springs Dr
Ste B
Diamond Bar, CA 91765
Phone (213) 518-4635

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1427829290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S WILTON PL APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192128",
            "telephone_number": "213-322-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22640 GOLDEN SPRINGS DR STE B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652200",
            "telephone_number": "213-518-4635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3544 W Olympic Blvd # 101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900193500",
            "country_code": "US",
            "telephone_number": "213-322-9710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 S Vermont Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900065907",
            "country_code": "US",
            "telephone_number": "213-518-4635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNE",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNE",
            "last_name": "KIM",
            "prefix": "MR.",
            "credential": "ACUPUNCTURIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.