Jong Joung Kim, L.AC, PHD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 14047 Issued in CA

Practice address

1966 E Chapman Ave
Suite J
Fullerton, CA 92831-4142

Phone

(714) 869-3919

Fax

(714) 871-8882

NPI assigned

Oct 15, 2011

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

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.

• J.J.Kim Acupuncture Clinic PC

  • Acupuncturist
  • Fullerton, CA
  • NPI 1447597208
  NPD (past) Authorized official

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1659656163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 E CHAPMAN AVE",
            "address_2": "SUITE J",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314142",
            "telephone_number": "714-869-3919",
            "fax_number": "714-871-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 E CHAPMAN AVE",
            "address_2": "SUITE J",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314142",
            "telephone_number": "714-869-3919",
            "fax_number": "714-871-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JONG",
        "middle_name": "JOUNG",
        "name_prefix": "Dr.",
        "credential": "L.AC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 14047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinjoo Kim, LAC
• Jisun Kim
• Jiwoo Kim
• Joann H Kim, D.D.S.
• Jong Chan Kim
• Joo Won Kim
• Joseph Bumsin Kim, D.C., L. AC.
• Joy Daeun Kim
• Joy Hyunae Kim, DC
• Juliana Y Kim, RDHAP

• Acupuncturist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.