Jung Ki Kim, LA.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC2425 Issued in CA

Practice address

2503 N. Fresno St.
Fresno, CA 93703

Phone

(559) 226-5531

Fax

(559) 226-6503

NPI assigned

Jan 30, 2007

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 names 1

• Mr. James Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1669519856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 N. FRESNO ST.",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93703",
            "telephone_number": "559-226-5531",
            "fax_number": "559-226-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 N. FRESNO ST.",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93703",
            "telephone_number": "559-226-5531",
            "fax_number": "559-226-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG",
        "middle_name": "KI",
        "name_prefix": "Mr.",
        "credential": "LA.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC2425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "KIM",
            "prefix": "MR.",
            "credential": "LA.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeena Kim
• Jieun Kim
• Jo I Kim, L.AC., PH.D.
• John Kim, M.D.
• Jongwook Kim
• Kelley C Kim, RD
• Lilian Ae-Rhee Kim, MD
• Michelle Kim
• Mijeong Kim
• Mimi Kim

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.