Kil Young Kwak, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

13475 Issued in CA

Practice address

3400 W Olympic Blvd # 207
Los Angeles, CA 90019-2122

Phone

(213) 365-2277

Fax

(213) 385-3710

NPI assigned

Oct 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Acumedi Health Center Acupuncture Inc.

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1043709942
  NPD

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1598308231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W OLYMPIC BLVD # 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192122",
            "telephone_number": "213-365-2277",
            "fax_number": "213-385-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W OLYMPIC BLVD # 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192122",
            "telephone_number": "213-365-2277",
            "fax_number": "213-385-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W Olympic Blvd # 207",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900192122",
            "country_code": "US",
            "telephone_number": "213-365-2277",
            "fax_number": "213-385-3710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAK",
        "first_name": "KIL YOUNG",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Kwak
• Judy Kwak
• Kay Kwak
• Ke Sung Kwak, D.C.
• Kevin D Kwak, M.D.
• Kyoung Whan Kwak, D.D.S.
• Myung K Kwak
• Myunghoon Kwak
• Sharon Kwak, PT
• Soon Kwak, M.D.

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.