Sang Woo Kim

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

14911 Issued in CA

Practice address

10605 Balboa Blvd Ste 302
Granada Hills, CA 91344-6365

Phone

(213) 298-8853

Fax

(818) 561-3752

NPI assigned

Dec 15, 2016

Last updated

Apr 25, 2022By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ken's Acpuncture & Wellness, Inc

  • Acupuncturist
  • Granada Hills, CA
  • NPI 1790360089
  NPD Authorized official
• Ken's Acupuncture & Wellness

  • Acupuncturist
  • North Hollywood, CA
  • NPI 1952832578
  NPD (past) Authorized official

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1740724301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GRANVILLE AVE APT 108",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900252863",
            "telephone_number": "213-298-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 302",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446365",
            "telephone_number": "213-298-8853",
            "fax_number": "818-561-3752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7355 Lankershim Blvd # S1",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916053847",
            "country_code": "US",
            "telephone_number": "818-966-0653",
            "fax_number": "818-561-3752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SANG WOO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lee Kim, M.A.
• Joon Woo Kim, PHARMACIST
• Kap Byong Kim
• Kris Kim, PHARM D.
• Meehwa Heidi Kim
• Seog Woo Kim, D.C.
• William Kim
• Dara Kimia, DMD
• Kind Heart Senior Care Inc. (A Kind Heart Senior Care)
• Kings Home Health, Inc.

• Acupuncturist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.