Diana Mi Kim, LIC. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC13352 Issued in CA

Practice address

15885 Main St
Suite 280
Hesperia, CA 92345-3452

Phone

(760) 628-4777

Fax

(760) 949-2534

NPI assigned

Oct 2, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1740599141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9027 FREMONT CT",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923449240",
            "telephone_number": "760-628-4777",
            "fax_number": "760-949-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15885 MAIN ST",
            "address_2": "SUITE 280",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453452",
            "telephone_number": "760-628-4777",
            "fax_number": "760-949-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DIANA",
        "middle_name": "MI",
        "credential": "LIC. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-02",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Keshmiri, DDS
• Laila Khamsei, DDS
• Bakht-Awar Khan, M.D.
• Amy Kim, D.M.D
• Chang PA Kim
• Eugenie Heo Kim, DDS
• Sally Minji Kim
• Sara Kim
• Lara Ellen King-Frederick, N.P.
• Melissa Emely Kinsey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.