NPIMap

Organization Active NPI

J.J.Kim Acupuncture Clinic PC

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1447597208
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14047 Issued in CA
Legal business name
J.J.KIM ACUPUNCTURE CLINIC PC
Practice address
1966 E Chapman Ave
Suite J
Fullerton, CA 92831-4142
Phone
(714) 833-4077
Fax
(714) 871-8882
NPI assigned
Jan 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Jong Joung Kim, L.AC, PHDNPI 1659656163
Title
Owner
Phone
(714) 833-4077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC14047 CA Primary

Addresses

Primary practice location

1966 E Chapman Ave
Suite J
Fullerton, CA 92831-4142

Mailing address

1966 E Chapman Ave
Suite J
Fullerton, CA 92831-4142
Phone (714) 833-4077

National Provider Directory

National Provider Directory

Locations

1966 E Chapman Ave
Ste J
Fullerton, CA 92831
Phone (714) 833-4077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1447597208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 E CHAPMAN AVE",
            "address_2": "SUITE J",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314142",
            "telephone_number": "714-833-4077",
            "fax_number": "714-871-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 E CHAPMAN AVE",
            "address_2": "SUITE J",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314142",
            "telephone_number": "714-833-4077",
            "fax_number": "714-871-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.J.KIM ACUPUNCTURE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "JOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-833-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC, PHD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.