Soo Jin Kim Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOO JIN KIM CHIROPRACTIC INC

Doing business as

Primo Chiropractic & Acupuncture

Practice address

25000 Avenue Stanford Ste 174
Valencia, CA 91355-4596

Phone

(323) 203-4414

NPI assigned

Dec 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Soo Jin Jin Kim, DC, LACNPI 1548570740

Title

Doctor

Phone

(323) 203-4414

Specialties & licenses 2

Addresses

Other names 1

• Primo Chiropractic & Acupuncture Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Soo Jin Kim, D.C., L.AC.

  • Chiropractor
  • Torrance, CA
  • NPI 1548570740
  Medicare reassignment Authorized official
• Linda Peizhu Ding, D.C., L. AC.

  • Chiropractor
  • Torrance, CA
  • NPI 1316019250
  NPD

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1720559396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S ALVARADO ST STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574085",
            "telephone_number": "323-203-4414",
            "fax_number": "213-352-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 174",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554596",
            "telephone_number": "323-203-4414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Brookhurst St Ste 232",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928015228",
            "country_code": "US",
            "telephone_number": "323-203-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOO JIN KIM CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOO JIN",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "323-203-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primo Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primo Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarisa Soltero
• Diane Jungyun Song, OD
• Grace Y Song, O.D.
• Jooyoung Song, DDS
• Jan Jeffrey Sonza
• Robbie Kaveh Sooriash, M.D.
• Susan Lynn Soppe, P.T.
• Patrizia Sorge, LCSW
• Lira Bumanlag Soriano
• Guadalupe Rebeca Sosa Rodriguez

• Chiropractor in Valencia, CA
• Providers in Valencia, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.