Active NPI
Hyun Chung Kim, LAC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1801032255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12583
- Practice address
- 3217 Overland Ave Apt 6107
Los Angeles, CA 90034-4515 - Phone
- (310) 463-6100
- NPI assigned
- Jan 6, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC12583 | CA | Primary |
Addresses
Primary practice location
3217 Overland Ave Apt 6107
Los Angeles, CA 90034-4515
Mailing address
3217 Overland Ave Apt 6107
Los Angeles, CA 90034-4515
Phone (310) 463-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780820134 | Other | CA | ACUPUNCTURIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC12583 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1801032255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 OVERLAND AVE APT 6107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900344515",
"telephone_number": "310-463-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 OVERLAND AVE APT 6107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900344515",
"telephone_number": "310-463-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYUN",
"middle_name": "CHUNG",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURIST",
"identifier": "1780820134",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.