Pacific Coast Community Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

PACIFIC COAST COMMUNITY ACUPUNCTURE

Practice address

11204 Braddock Dr
Culver City, CA 90230-4807

Phone

(310) 985-0554

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

Susan Kim, L.AC.NPI 1568989556

Title

Co-Owner

Phone

(310) 985-0554

Specialties & licenses 1

Addresses

Practitioners 1

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

• Susan Kim, L.AC.

  • Acupuncturist
  • Culver City, CA
  • NPI 1568989556
  NPD (past) Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497272223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11204 BRADDOCK DR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304807",
            "telephone_number": "310-985-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11204 BRADDOCK DR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304807",
            "telephone_number": "310-985-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST COMMUNITY ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "310-985-0554",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kabirat Oyenuga
• Nkem Linda Ozoagu
• Jasmine Jesica Pacheco Galvez
• Julissa Pacheco-Pena
• Tanagon Micke Pacheco
• Pacific Interventional Vascular Access Center Medical Corporation
• Jaime Padilla Jr.
• Jose Antonio Padilla
• Arianne Lambino Paez
• Robert Joe Page III

• Acupuncturist in Culver City, CA
• Providers in Culver City, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.