Individual provider Active NPI

Grace Gil Kim, A.C.

  • Acupuncturist
  • Torrance, CA
National Provider Identifier
1902243199
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 10047 Issued in CA
Practice address
2370 Crenshaw Blvd
Suite J
Torrance, CA 90501-3352
Phone
(310) 367-3883
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 10047 CA Primary

Addresses

Primary practice location

2370 Crenshaw Blvd
Suite J
Torrance, CA 90501-3352

Mailing address

2370 Crenshaw Blvd
Suite J
Torrance, CA 90501-3352
Phone (310) 367-3883

Other names 1

  • Mrs. Gil Soon Kim Former 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
AC 10047CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1902243199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CRENSHAW BLVD",
            "address_2": "SUITE J",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013352",
            "telephone_number": "310-367-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 CRENSHAW BLVD",
            "address_2": "SUITE J",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013352",
            "telephone_number": "310-367-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "GRACE",
        "middle_name": "GIL",
        "name_prefix": "Mrs.",
        "credential": "A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIL",
            "last_name": "KIM",
            "middle_name": "SOON",
            "prefix": "MRS.",
            "credential": "A.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.