Eun a Kim, MSAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14327 Issued in CA

Practice address

12403 Central Ave # 1019
Chino, CA 91710-2604

Phone

(909) 569-2427

NPI assigned

Dec 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jenny Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raon Acupuncture - Kim Professional Corporation

  • Acupuncturist
  • Chino Hills, CA
  • NPI 1750189668
  NPD Authorized official

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1730457623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 SUN RIDGE DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091719",
            "telephone_number": "909-569-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12403 CENTRAL AVE # 1019",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102604",
            "telephone_number": "909-569-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUN A",
        "name_prefix": "Mrs.",
        "credential": "MSAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "KIM",
            "prefix": "MRS.",
            "credential": "DAOM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shameem Banu Khan, O.D.
• Kamaya Michelle Killebrew, PA-C
• Cha Mi Kim, L. AC
• Changsu Kim, L.AC
• Diane Deoksu Kim, PHARM.D.
• Jay Kim, PHARMD
• Ji Hong Kim, PSY.D.
• Jin Ho Kim, PHARMACIST
• Joanne Ji Yun Kim, O.D
• Jua Grace Kim, MFTI

• Acupuncturist in Chino, CA
• Providers in Chino, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.