Active NPI
Joonhong Kim
- Chiropractor
- Garden Grove, CA
National Provider Identifier
1508897448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30224
- Practice address
- 9240 Garden Grove Blvd Ste 17
Garden Grove, CA 92844-1400 - Phone
- (714) 638-9780
- Fax
- (714) 638-9769
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30224 | CA | Primary |
Addresses
Primary practice location
9240 Garden Grove Blvd Ste 17
Garden Grove, CA 92844-1400
Mailing address
423 Quail MDWS
Irvine, CA 92603-4224
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 |
|---|---|---|---|
| DC30224 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Medical Center, Inc. | Past | Accepting new patients | |
| JK Healthcare Management Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Los Angeles, CA
- NPI 1770811515
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1730108929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508897448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 QUAIL MDWS",
"city": "IRVINE",
"state": "CA",
"postal_code": "926034224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9240 GARDEN GROVE BLVD STE 17",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441400",
"telephone_number": "714-638-9780",
"fax_number": "714-638-9769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOONHONG",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30224",
"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 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.