Organization Active NPI

Lee & Kim Acupuncture Medical Group Inc

Doing business as Lee & Kim Healing Center

  • Acupuncturist
  • Cypress, CA
National Provider Identifier
1679235436
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LEE & KIM ACUPUNCTURE MEDICAL GROUP INC
Doing business as
Lee & Kim Healing Center
Practice address
9090 Moody St Apt 111
Cypress, CA 90630-2940
Phone
(657) 341-2125
NPI assigned
Oct 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Woo Jin Lee, L.AC., DIPL. O.M.NPI 1598051286
Title
Cfo, Co-Founder
Phone
(213) 219-2696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

9090 Moody St Apt 111
Cypress, CA 90630-2940

Mailing address

9090 Moody St Apt 111
Cypress, CA 90630-2940
Phone (657) 341-2125

Other identifiers 2

IdentifierTypeStateIssuer
1245773027MedicaidCA
1598051286MedicaidCA

Other names 1

  • LEE & KIM HEALING CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1679235436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 MOODY ST APT 111",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302940",
            "telephone_number": "657-341-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 MOODY ST APT 111",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302940",
            "telephone_number": "657-341-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE & KIM ACUPUNCTURE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WOO JIN",
        "authorized_official_title_or_position": "CFO, CO-FOUNDER",
        "authorized_official_telephone_number": "213-219-2696",
        "authorized_official_credential": "L.AC., DIPL. O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245773027",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598051286",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEE & KIM HEALING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.