Kyopng T Kim, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

13341 Issued in CA

Practice address

14838 Magnolia Blvd
Sherman Oaks, CA 91403-1328

Phone

(818) 385-0916

Fax

(818) 907-9262

NPI assigned

Oct 27, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Henry Kang Acupuncture Clinic Inc

  • Preferred Provider Organization
  • Sherman Oaks, CA
  • NPI 1942624671
  NPD (past)

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1649506676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14838 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031328",
            "telephone_number": "818-385-0916",
            "fax_number": "818-907-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14838 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031328",
            "telephone_number": "818-385-0916",
            "fax_number": "818-907-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYOPNG",
        "middle_name": "T",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC13341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily A Kiedman, PH.D.
• Nadia Gabrielle Kilgore, BCBA
• Audrey Bena Kim, L.A.C
• Gloria Haeun Kim
• Hannah Kim
• Leanna Kim
• Lia Kim
• Yonnie Kwak Kim
• Henry Kimmel, PSY.D.
• Kinetix Surgery Center, Inc

• Acupuncturist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.