Joseph Kim Chiropractic & Acupuncture Clinic Inc.

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

License

3833 Issued in CA

Legal business name

JOSEPH KIM CHIROPRACTIC & ACUPUNCTURE CLINIC INC.

Practice address

4128 W Commonwealth Ave Ste 101
Fullerton, CA 92833-2565

Phone

(714) 525-3535

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Joseph Bumsin KimNPI 1952408817

Title

Ceo

Phone

(714) 525-3535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Joseph Bumsin Kim, D.C., L. AC.

  • Chiropractor
  • Fullerton, CA
  • NPI 1952408817
  Medicare reassignment Authorized official
• Jung in Choi, L.AC

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1982166880
  NPD (past)
• Andrea Lyn Heermance, D.C.

  • Chiropractor
  • Fullerton, CA
  • NPI 1164532636
  NPD (past)

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1801288758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 W COMMONWEALTH AVE STE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332565",
            "telephone_number": "714-525-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 W COMMONWEALTH AVE STE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332565",
            "telephone_number": "714-525-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH KIM CHIROPRACTIC & ACUPUNCTURE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BUMSIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-525-3535"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "CA",
            "license": "3833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dovanna Jordan
• Shanika Jordan
• Simone Janae Jordan, D.C.
• Jose Armando Jorge, PH.D.
• Paolo Gabriel Jorge, M.D.
• David Joseph
• Megha Elizabeth Joseph
• Lis Joshy, PA-S
• Joy Kim Chiropractic, Inc.
• Joyce H. Chong M.D. Inc.

• Corporate Health Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Corporate Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.