Active NPI
Minkyoung Kim
- Acupuncturist
- Redondo Beach, CA
National Provider Identifier
1811549066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17621
- Practice address
- 2604 Artesia Blvd Ste 5
Redondo Beach, CA 90278-3371 - Phone
- (323) 994-4377
- NPI assigned
- Jul 9, 2019
- Last updated
- Nov 24, 2020
- 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 | AC17621 | CA | Primary |
Addresses
Primary practice location
2604 Artesia Blvd Ste 5
Redondo Beach, CA 90278-3371
Mailing address
2604 Artesia Blvd Ste 5
Redondo Beach, CA 90278-3371
Phone (323) 994-4377
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 |
|---|---|---|---|
| AC17621 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acu4U | Acupuncturist | Current | Accepting new patients |
Locations
2604 Artesia Blvd
Ste 5
Redondo Beach, CA 90278
Phone (323) 994-4377
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1811549066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 ARTESIA BLVD STE 5",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783371",
"telephone_number": "323-994-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 ARTESIA BLVD STE 5",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783371",
"telephone_number": "323-994-4377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MINKYOUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.