Active NPI
Yeonjung Kim
- Acupuncturist
- North Hollywood, CA
National Provider Identifier
1710259726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11272
- Practice address
- 6220 Morella Ave
North Hollywood, CA 91606 - Phone
- (213) 700-8542
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- 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 | AC11272 | CA | Primary |
Addresses
Primary practice location
6220 Morella Ave
North Hollywood, CA 91606
Mailing address
6220 Morella Ave
North Hollywood, CA 91606-3412
Phone (213) 700-8542
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 |
|---|---|---|---|
| AC11272 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1710259726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 MORELLA AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063412",
"telephone_number": "213-700-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 MORELLA AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "91606",
"telephone_number": "213-700-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YEONJUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.