Individual provider Active NPI

Hai Ok Kim, L,AC

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1497955892
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4710 Issued in CA
Practice address
9240 Garden Grove Blvd Ste 2
Garden Grove, CA 92844-1400
Phone
(714) 636-1412
Fax
(714) 530-3100
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC4710 CA Primary

Addresses

Primary practice location

9240 Garden Grove Blvd Ste 2
Garden Grove, CA 92844-1400

Mailing address

9240 Garden Grove Blvd Ste 2
Garden Grove, CA 92844-1400
Phone (714) 636-1412

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

LicenseStateTypeSpecialty
AC4710CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1497955892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 GARDEN GROVE BLVD STE 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441400",
            "telephone_number": "714-636-1412",
            "fax_number": "714-530-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 GARDEN GROVE BLVD STE 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441400",
            "telephone_number": "714-636-1412",
            "fax_number": "714-530-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAI OK",
        "credential": "L,AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.