Active NPI
Ken Kyung-Jin Min, D.C.
- Chiropractor
- Alhambra, CA
National Provider Identifier
1730300146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-27819
- Practice address
- 430 S Garfield Ave Ste 418
Alhambra, CA 91801-3877 - Phone
- (606) 570-8838
- Fax
- (626) 570-8878
- NPI assigned
- May 1, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-27819 | CA | Primary |
Addresses
Primary practice location
430 S Garfield Ave Ste 418
Alhambra, CA 91801-3877
Mailing address
430 S Garfield Ave Ste 418
Alhambra, CA 91801-3877
Phone (606) 570-8838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629000069 | CA | Practitioner - Chiropractic | 8325350754 | Practice locations: Hacienda Heights, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-27819 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730300146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 S GARFIELD AVE STE 418",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013877",
"telephone_number": "606-570-8838",
"fax_number": "626-570-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 S GARFIELD AVE STE 418",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013877",
"telephone_number": "606-570-8838",
"fax_number": "626-570-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "KEN",
"middle_name": "KYUNG-JIN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-27819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.