Dae Kwon Kim, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

403 N Oakhurst Dr Apt 104
Beverly Hills, CA 90210-4030

Phone

(213) 210-5553

Fax

(310) 385-0108

NPI assigned

Apr 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699898924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N OAKHURST DR APT 104",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104030",
            "telephone_number": "213-210-5553",
            "fax_number": "310-385-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N OAKHURST DR APT 104",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104030",
            "telephone_number": "213-210-5553",
            "fax_number": "310-385-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAE KWON",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC 9710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew-Sunjun Kim, DDS
• Ashley Kim
• Chae Kim
• Changkyu Kim
• Chloe Kim, PSYD
• David Edwin Kim, MD
• Dong U. Kim, MD
• Elizabeth Miyoung Kim, MD
• Eun Kyong Kim, RPH
• Haeran Kim, PHARAMCIST

• Acupuncturist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.