Active NPI
Ho Jun Kim, LIC. ACU.
- Acupuncturist
- El Centro, CA
National Provider Identifier
1891972519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11071
- Practice address
- 1121 S 4TH St
Suite a
El Centro, CA 92243-4742 - Phone
- (760) 370-0516
- NPI assigned
- Jan 24, 2008
- Sex
- Male
- 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 | AC11071 | CA | Primary |
Addresses
Primary practice location
1121 S 4TH St
Suite a
El Centro, CA 92243-4742
Mailing address
1121 S 4TH St
Suite a
El Centro, CA 92243-4742
Phone (760) 370-0516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC 11071 | Other | CA | ACUPUNCTURE LICENSE |
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 |
|---|---|---|---|
| AC11071 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1891972519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 S 4TH ST",
"address_2": "SUITE A",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434742",
"telephone_number": "760-370-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 S 4TH ST",
"address_2": "SUITE A",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434742",
"telephone_number": "760-370-0516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HO JUN",
"credential": "LIC. ACU.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE",
"identifier": "AC 11071",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.