Active NPI
Moon Jung Kim
- Acupuncturist
- Irvine, CA
National Provider Identifier
1508148982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC13550
- Practice address
- 40 Santa Catalina Aisle
Irvine, CA 92606-0860 - Phone
- (949) 697-8582
- NPI assigned
- Sep 12, 2011
- Last updated
- Dec 2, 2013
- Sex
- Female
- 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 | AC13550 | CA | Primary |
Addresses
Primary practice location
40 Santa Catalina Aisle
Irvine, CA 92606-0860
Mailing address
4330 Barranca Pkwy
Ste #232
Irvine, CA 92604-4755
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC13550 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firsons Inc | Acupuncturist | Current | Accepting new patients |
Locations
4330 Barranca Pkwy
Ste 135
Irvine, CA 92604
Phone (949) 331-8484
4330 Barranca Pkwy
Ste 232
Irvine, CA 92604
Phone (949) 504-7049
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1508148982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 BARRANCA PKWY",
"address_2": "STE #232",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SANTA CATALINA AISLE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926060860",
"telephone_number": "949-697-8582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MOON JUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.