Organization Active NPI

SRS Kim Inc

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1578812269
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
10029 Issued in CA
Legal business name
SRS KIM INC
Practice address
12450 Culver Blvd
3305
Los Angeles, CA 90066
Phone
(310) 266-9760
Fax
(310) 670-1914
NPI assigned
Sep 10, 2012
Last updated
Sep 10, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SRS KIM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sarah Kim, L.ACNPI 1134224447
Title
President
Phone
(310) 266-9760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 10029 CA Primary

Addresses

Primary practice location

12450 Culver Blvd
3305
Los Angeles, CA 90066

Mailing address

5855 Green Valley Circle.,
Ste.201
Culver City, CA 90230
Phone (310) 266-9760

Other identifiers 1

IdentifierTypeStateIssuer
1134224447OtherCAPERSONAL NPI

Other names 1

  • Good Qi Acupuncture Other name

National Provider Directory

National Provider Directory
Part of
SRS Kim Inc

Locations

5855 Green Valley Cir
Ste 201
Culver City, CA 90230
Phone (310) 338-0673

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1578812269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 GREEN VALLEY CIRCLE.,",
            "address_2": "STE.201",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90230",
            "telephone_number": "310-266-9760",
            "fax_number": "310-670-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 CULVER BLVD",
            "address_2": "3305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90066",
            "telephone_number": "310-266-9760",
            "fax_number": "310-670-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRS KIM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRS KIM INC",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-266-9760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1134224447",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Qi Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.