Individual provider Active NPI

Young O Kim, AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1801347992
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8468 Issued in CA
Practice address
3000 W Olympic Blvd Ste 301
Los Angeles, CA 90006-6512
Phone
(323) 660-0233
Fax
(818) 855-8061
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8468 CA Primary

Addresses

Primary practice location

3000 W Olympic Blvd Ste 301
Los Angeles, CA 90006-6512

Mailing address

3000 W Olympic Blvd Ste 301
Los Angeles, CA 90006-6512
Phone (323) 660-9033

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

LicenseStateTypeSpecialty
AC8468CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1801347992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W OLYMPIC BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066512",
            "telephone_number": "323-660-9033",
            "fax_number": "818-855-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W OLYMPIC BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066512",
            "telephone_number": "323-660-0233",
            "fax_number": "818-855-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "O",
        "credential": "AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8468",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2016; 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.