Organization Active NPI

Jung Sook Kim Oriental Clinic

Doing business as Dr. Jayne Kim Acupuncture Clinic

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1457852758
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9977 Issued in CA
Legal business name
JUNG SOOK KIM ORIENTAL CLINIC
Doing business as
Dr. Jayne Kim Acupuncture Clinic
Practice address
4017 Wilshire Blvd
Los Angeles, CA 90010-3401
Phone
(213) 284-1133
NPI assigned
Feb 22, 2018
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Jayne J. Kim, L. AC
Title
Owner
Phone
(213) 284-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 9977 CA Primary

Addresses

Primary practice location

4017 Wilshire Blvd
Los Angeles, CA 90010-3401

Mailing address

5403 W 8TH St
Los Angeles, CA 90036-4842
Phone (213) 284-1133

Other names 1

  • Dr. Jayne Kim Acupuncture Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1457852758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 W 8TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364842",
            "telephone_number": "213-284-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103401",
            "telephone_number": "213-284-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG SOOK KIM ORIENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-284-1133",
        "authorized_official_credential": "L. AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jayne Kim Acupuncture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 22, 2018; 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.