Active NPI
Lauren Soojin Kim, L.AC
- Acupuncturist
- Fullerton, CA
National Provider Identifier
1578734307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12314
- Practice address
- 1400 N Harbor Blvd Ste 120
Fullerton, CA 92835-4110 - Phone
- (714) 773-7000
- Fax
- (714) 870-5028
- NPI assigned
- Mar 19, 2008
- 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 | AC12314 | CA | Primary |
Addresses
Primary practice location
1400 N Harbor Blvd Ste 120
Fullerton, CA 92835-4110
Mailing address
415 Colony Dr
Fullerton, CA 92832-2140
Phone (714) 292-2980
Other names 1
- Soojin Oh
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 |
|---|---|---|---|
| AC12314 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvida KMC | Acupuncturist | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Acupuncturist
- Fullerton, CA
- NPI 1851540009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1578734307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 COLONY DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322140",
"telephone_number": "714-292-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N HARBOR BLVD STE 120",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354110",
"telephone_number": "714-773-7000",
"fax_number": "714-870-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "LAUREN",
"middle_name": "SOOJIN",
"name_prefix": "Mrs.",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOOJIN",
"last_name": "OH",
"credential": "L.AC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.