Organization Active NPI

Irvine Family Acupuncture &Herbs

  • Acupuncturist
  • Irvine, CA
National Provider Identifier
1720418403
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7415 Issued in CA
Legal business name
IRVINE FAMILY ACUPUNCTURE &HERBS
Practice address
4482 Barranca Pkwy
Suite 248
Irvine, CA 92604-7701
Phone
(949) 653-1612
Fax
(949) 653-1529
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Prof. Kyung Ja Kim, L.AC.NPI 1790816627
Title
Senior Acupuncturist
Phone
(949) 653-1612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC7415 CA Primary

Addresses

Primary practice location

4482 Barranca Pkwy
Suite 248
Irvine, CA 92604-7701

Mailing address

4482 Barranca Pkwy
Suite 248
Irvine, CA 92604
Phone (949) 653-1612

National Provider Directory

National Provider Directory

Locations

4482 Barranca Pkwy
Ste 248
Irvine, CA 92604
Phone (949) 237-2103

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1720418403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY",
            "address_2": "SUITE 248",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-653-1612",
            "fax_number": "949-653-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY",
            "address_2": "SUITE 248",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047701",
            "telephone_number": "949-653-1612",
            "fax_number": "949-653-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE FAMILY ACUPUNCTURE &HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_middle_name": "JA",
        "authorized_official_title_or_position": "SENIOR ACUPUNCTURIST",
        "authorized_official_telephone_number": "949-653-1612",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.