Miji Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC18763 Issued in CA

Practice address

12360 Penn St Ste a
Whittier, CA 90602-1103

Phone

(562) 789-1588

NPI assigned

Mar 22, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• MJ Integrative Wellness

  • Acupuncturist
  • Upland, CA
  • NPI 1619758133
  NPD Authorized official
• Oasis Healing Arts

  • Acupuncturist
  • Whittier, CA
  • NPI 1558958736
  NPD
• Eastao Corp.

  • Preferred Provider Organization
  • Alta Loma, CA
  • NPI 1902082928
  NPD (past)

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1699301564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 W FOOTHILL BLVD APT 10",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863648",
            "telephone_number": "909-247-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 PENN ST STE A",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021103",
            "telephone_number": "562-789-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIJI",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hose Kim, M.D.
• Hye Ji Kim
• Iris Kim
• Jungyeun Kim, PHARMD
• Katherine Kim, MD
• Monica Kim, MD
• Rachel Kim
• Rachel Dahye Kim
• Sallie Hehseon Kim, A.C.
• Samuel Kim, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.