Active NPI
Solomon K Kim, LAC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1811196561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC6011
- Practice address
- 3919 Beverly Blvd
202
Los Angeles, CA 90004 - Phone
- (323) 644-0702
- NPI assigned
- Jul 13, 2007
- Last updated
- Jul 13, 2007
- Sex
- Male
- 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 | AC6011 | CA | Primary |
Addresses
Primary practice location
3919 Beverly Blvd
202
Los Angeles, CA 90004
Mailing address
23 Agate
Irvine, CA 92614-7446
Phone (949) 559-0331
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 |
|---|---|---|---|
| AC6011 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1811196561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 AGATE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926147446",
"telephone_number": "949-559-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 BEVERLY BLVD",
"address_2": "202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90004",
"telephone_number": "323-644-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SOLOMON",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC6011",
"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 Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.