Organization Active NPI

Jason Kim Acupuncture Corporation

  • Acupuncturist
  • Gardena, CA
National Provider Identifier
1700243862
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9925 Issued in CA
Legal business name
JASON KIM ACUPUNCTURE CORPORATION
Practice address
16303 S Western Ave
9
Gardena, CA 90247-4674
Phone
(310) 538-9917
Fax
(310) 538-9918
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Jason Kim, L.AC.NPI 1245451772
Title
President
Phone
(310) 538-9917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9925 CA Primary

Addresses

Primary practice location

16303 S Western Ave
9
Gardena, CA 90247-4674

Mailing address

16303 S Western Ave
9
Gardena, CA 90247-4674
Phone (310) 538-9917

National Provider Directory

National Provider Directory

Locations

16303 S Western Ave
Ste 9
Gardena, CA 90247
Phone (310) 538-9917

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1700243862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 S WESTERN AVE",
            "address_2": "9",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474674",
            "telephone_number": "310-538-9917",
            "fax_number": "310-538-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 S WESTERN AVE",
            "address_2": "9",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474674",
            "telephone_number": "310-538-9917",
            "fax_number": "310-538-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON KIM ACUPUNCTURE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-538-9917",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.