Active NPI
Seon Ryang Kim, PH.D.
- Acupuncturist
- Irvine, CA
National Provider Identifier
1659666964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC14035
- Practice address
- 3500 Barranca Pkwy
#330
Irvine, CA 92606-8226 - Phone
- (949) 654-1500
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC14035 | CA | Primary |
Addresses
Primary practice location
3500 Barranca Pkwy
#330
Irvine, CA 92606-8226
Mailing address
4972 Paseo de Vega
Irvine, CA 92603-3325
Phone (213) 864-4885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC14035 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1659666964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4972 PASEO DE VEGA",
"city": "IRVINE",
"state": "CA",
"postal_code": "926033325",
"telephone_number": "213-864-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 BARRANCA PKWY",
"address_2": "#330",
"city": "IRVINE",
"state": "CA",
"postal_code": "926068226",
"telephone_number": "949-654-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SEON",
"middle_name": "RYANG",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC14035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.