Jiyoung Kim

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC18278 Issued in CA

Practice address

951 S Westlake Blvd Ste 110
Westlake Village, CA 91361-3172

Phone

(805) 371-0058

NPI assigned

Dec 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1891267944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 S WESTLAKE BLVD STE 110",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613172",
            "telephone_number": "805-371-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 S WESTLAKE BLVD STE 110",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613172",
            "telephone_number": "805-371-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14317 Clemson St",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930211356",
            "country_code": "US",
            "telephone_number": "805-630-7207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JIYOUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids and Company Therapeutic Intervention Company, Inc.
• Kids Master Skills LLC
• Daniel Kwangkyum Kim, L.AC
• Eleanor Kim, PH.D.
• Eun Sang Sang Kim
• Kap Ryong Kim, D.C., LA.C
• Sujin Kim, PA
• Thomas Jinkyu Kim, MD
• Kimberly Yudt, Licensed Clinical Social Worker Corp.
• Debra L King, MA

• Acupuncturist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.