Kristen Lum Green, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC17604 Issued in CA

Practice address

822 S Robertson Blvd
Ste 300
Beverly Hills, CA 90035-2516

Phone

(424) 235-7577

NPI assigned

Mar 14, 2016

Last updated

Sep 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen Lum Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lum Acupuncture and Herbal Medicine

  • Clinic/Center
  • Encino, CA
  • NPI 1467813295
  NPD (past)

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1467813766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18150 ANDREA CIR S UNIT 2",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251159",
            "telephone_number": "310-910-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "address_2": "STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "900352516",
            "telephone_number": "424-235-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM GREEN",
        "first_name": "KRISTEN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1185",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "LUM",
            "credential": "LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa Joanne Lozano, PA-C
• LR Rifkin a Professional Corp
• Elizabeth J Lu, MD
• Valerie Anne Luethge Stern, PA-C, MPAS
• Luis Vallejo, M.D., Inc.
• Jill Lummus, PSYD
• Karla Francesca Lumunsad, FNP
• John Thornton Lundgren, M.D.
• Leif E. Lunsford, M.D.
• Jessica Rose Lutz

• Acupuncturist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.