Individual provider Active NPI

Inchul Kim

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1437891173
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19405 Issued in CA
Practice address
520 S la Fayette Park PL Ste 505
Los Angeles, CA 90057-5422
Phone
(818) 923-7004
NPI assigned
Apr 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19405 CA Primary

Addresses

Primary practice location

520 S la Fayette Park PL Ste 505
Los Angeles, CA 90057-5422

Mailing address

520 S la Fayette Park PL Ste 505
Los Angeles, CA 90057-5422
Phone (818) 923-7004

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://backtoeden.kr/ Health Information Exchange (HIE)

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
19405CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1437891173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S LA FAYETTE PARK PL STE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575422",
            "telephone_number": "818-923-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S LA FAYETTE PARK PL STE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575422",
            "telephone_number": "818-923-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "INCHUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://backtoeden.kr/",
            "affiliation": "N",
            "endpointDescription": "Health infromation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 S La Fayette Park Pl Ste 505",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900575422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.