Individual provider Active NPI

Bu Won Kim, L.AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1831442037
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9495 Issued in CA
Practice address
1200 Wilshire Blvd Ste 308
Los Angeles, CA 90017-1930
Phone
(213) 239-4189
NPI assigned
Oct 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 9495 CA Primary

Addresses

Primary practice location

1200 Wilshire Blvd Ste 308
Los Angeles, CA 90017-1930

Mailing address

308 S Oxford Ave
Los Angeles
Los Angeles, CA 90020-3849
Phone (213) 239-4189

Other names 1

  • Mr. Won Kim Other name

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
9495CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1831442037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S OXFORD AVE",
            "address_2": "LOS ANGELES",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203849",
            "telephone_number": "213-239-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WILSHIRE BLVD STE 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171930",
            "telephone_number": "213-239-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BU",
        "middle_name": "WON",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WON",
            "last_name": "KIM",
            "prefix": "MR.",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 25, 2012; 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.