Individual provider Active NPI

Sun Hyu Kim, L.AC.

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1891932836
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11506 Issued in CA
Practice address
10141 Westminster Ave
#204
Garden Grove, CA 92843-4788
Phone
(714) 590-9872
Fax
(714) 590-2232
NPI assigned
Jan 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11506 CA Primary

Addresses

Primary practice location

10141 Westminster Ave
#204
Garden Grove, CA 92843-4788

Mailing address

10141 Westminster Ave
#204
Garden Grove, CA 92843-4788
Phone (714) 590-9872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC11506CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hyu Acupuncture Clinic Acupuncturist CurrentSince Sep 18, 2024 Accepting new patients
MD Solutions Medical Corp Past Accepting new patients

Locations

10141 Westminster Ave
Ste 204
Garden Grove, CA 92843
Phone (714) 590-9872

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1891932836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 WESTMINSTER AVE",
            "address_2": "#204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434788",
            "telephone_number": "714-590-9872",
            "fax_number": "714-590-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 WESTMINSTER AVE",
            "address_2": "#204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434788",
            "telephone_number": "714-590-9872",
            "fax_number": "714-590-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUN HYU",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.