Active NPI
Jungsook Kim, LAC
- Acupuncturist
- Corona, CA
National Provider Identifier
1457559361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 7798
- Practice address
- 401 S Lincoln Ave
Suite D
Corona, CA 92882-7139 - Phone
- (951) 808-0954
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- 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 | 7798 | CA | Primary |
Addresses
Primary practice location
401 S Lincoln Ave
Suite D
Corona, CA 92882-7139
Mailing address
12923 Rimmon Rd
Corona, CA 92880-3440
Phone (951) 735-8663
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 |
|---|---|---|---|
| 7798 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anoop Maheshwari M.D Prof. Corp. | Past | Accepting new patients | |
| Lechner Chiropractic, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Corona, CA
- NPI 1275770554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457559361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12923 RIMMON RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928803440",
"telephone_number": "951-735-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S LINCOLN AVE",
"address_2": "SUITE D",
"city": "CORONA",
"state": "CA",
"postal_code": "928827139",
"telephone_number": "951-808-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JUNGSOOK",
"name_prefix": "Mrs.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "7798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.