Active NPI
SRS Kim Inc
- Acupuncturist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 10029
- 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, 2012
- Organization subpart
- Yes
- Parent organization
- SRS KIM INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah Kim, L.AC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134224447 | Other | CA | PERSONAL NPI |
Other names 1
- Good Qi Acupuncture
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.
-
- Acupuncturist
- Torrance, CA
- NPI 1134224447
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.