Active NPI
Yong Ook Kim, LAC
- Acupuncturist
- Buena Park, CA
National Provider Identifier
1558709808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11787
- Practice address
- 6301 Beach Blvd Ste 200
Buena Park, CA 90621-4030 - Phone
- (714) 522-2100
- NPI assigned
- Jun 10, 2013
- Last updated
- Jun 10, 2013
- Sex
- Male
- 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 | 11787 | CA | Primary |
Addresses
Primary practice location
6301 Beach Blvd Ste 200
Buena Park, CA 90621-4030
Mailing address
6301 Beach Blvd Ste 200
Buena Park, CA 90621-4030
Phone (714) 522-2100
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapha Acupuncture Healing Center, Inc | Acupuncturist | Past | Accepting new patients |
| Endeo USA Inc | Acupuncturist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Torrance, CA
- NPI 1184133035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1558709808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 BEACH BLVD STE 200",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906214030",
"telephone_number": "714-522-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 BEACH BLVD STE 200",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906214030",
"telephone_number": "714-522-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YONG OOK",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.