Active NPI
Sangjun Kim
- Acupuncturist
- Buena Park, CA
National Provider Identifier
1891927364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 17293
- Practice address
- 7940 Orangethorpe Ave
Buena Park, CA 90621-3437 - Phone
- (714) 515-0607
- Fax
- (714) 736-0084
- NPI assigned
- Aug 18, 2009
- Sex
- Male
- Sole proprietor
- No
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 | AC 17293 | CA | Primary |
Addresses
Primary practice location
7940 Orangethorpe Ave
Buena Park, CA 90621-3437
Mailing address
7940 Orangethorpe Ave
Buena Park, CA 90621-3437
Phone (714) 515-0607
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 |
|---|---|---|---|
| AC 17293 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479945600000",
"number": "1891927364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7940 ORANGETHORPE AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213437",
"telephone_number": "714-515-0607",
"fax_number": "714-736-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7940 ORANGETHORPE AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213437",
"telephone_number": "714-515-0607",
"fax_number": "714-736-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SANGJUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-18",
"last_updated": "2016-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 17293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.