Active NPI
Soyang Kim
- Acupuncturist
- Irvine, CA
National Provider Identifier
1528879616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC20242
- Practice address
- 4940 Irvine Blvd Ste 204
Irvine, CA 92620-1960 - Phone
- (714) 832-1500
- NPI assigned
- Jan 16, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC20242 | CA | Primary |
Addresses
Primary practice location
4940 Irvine Blvd Ste 204
Irvine, CA 92620-1960
Mailing address
4940 Irvine Blvd Ste 204
Irvine, CA 92620-1960
Phone (714) 832-1500
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 |
|---|---|---|---|
| AC20242 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1528879616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 IRVINE BLVD STE 204",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201960",
"telephone_number": "714-832-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 IRVINE BLVD STE 204",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201960",
"telephone_number": "714-832-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SOYANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC20242",
"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 Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.