Organization Active NPI

Ken's Acpuncture & Wellness, Inc

  • Acupuncturist
  • Granada Hills, CA
National Provider Identifier
1790360089
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
KEN'S ACPUNCTURE & WELLNESS, INC
Practice address
10605 Balboa Blvd Ste 302
Granada Hills, CA 91344-6365
Phone
(818) 966-0653
Fax
(818) 561-3752
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Dr. Sang Woo Kim, L.ACNPI 1740724301
Title
President
Phone
(818) 966-0653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

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

Mailing address

1535 Granville Ave Apt 108
Los Angeles, CA 90025-2863
Phone (213) 298-8853

National Provider Directory

National Provider Directory

Locations

10605 Balboa Blvd
Ste 302
Granada Hills, CA 91344
Phone (213) 298-8853

7355 Lankershim Blvd
#A15
North Hollywood, CA 91605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1790360089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GRANVILLE AVE APT 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252863",
            "telephone_number": "213-298-8853",
            "fax_number": "818-561-3752"
        },
        {
            "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": "818-966-0653",
            "fax_number": "818-561-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN'S ACPUNCTURE & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SANG WOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-966-0653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.