Active NPI
Gweon Il Kim, L. AC
- Acupuncturist
- Cypress, CA
National Provider Identifier
1699800326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 11543
- Practice address
- 10953 Meridian Dr
Ste N
Cypress, CA 90630-5143 - Phone
- (714) 761-9060
- Fax
- (714) 761-9060
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- 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 | AC 11543 | CA | Primary |
Addresses
Primary practice location
10953 Meridian Dr
Ste N
Cypress, CA 90630-5143
Mailing address
10953 Meridian Dr
Ste N
Cypress, CA 90630-5143
Phone (714) 761-9060
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 11543 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1699800326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10953 MERIDIAN DR",
"address_2": "STE N",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906305143",
"telephone_number": "714-761-9060",
"fax_number": "714-761-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10953 MERIDIAN DR",
"address_2": "STE N",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906305143",
"telephone_number": "714-761-9060",
"fax_number": "714-761-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "GWEON IL",
"name_prefix": "Mr.",
"credential": "L. AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 11543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.