Active NPI
Chin Kim, ACUPUNCTURIST
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1487772331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 5111
- Practice address
- 3251 W 6TH St Ste 100
Los Angeles, CA 90020-5019 - Phone
- (213) 255-1155
- Fax
- (213) 383-1633
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | AC 5111 | CA | Primary |
Addresses
Primary practice location
3251 W 6TH St Ste 100
Los Angeles, CA 90020-5019
Mailing address
515 Concord St Apt 108
Glendale, CA 91203-2817
Phone (213) 255-1155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDI-CAL | Other | CA | 4008936 |
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 |
|---|---|---|---|
| AC 5111 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487772331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CONCORD ST APT 108",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032817",
"telephone_number": "213-255-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 W 6TH ST STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900205019",
"telephone_number": "213-255-1155",
"fax_number": "213-383-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHIN",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 5111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "4008936",
"identifier": "MEDI-CAL",
"state": "CA"
}
],
"endpoints": [],
"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 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.