Active NPI
Jinwon Kim, L.AC
- Acupuncturist
- Anaheim, CA
National Provider Identifier
1912374661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 13432
- Practice address
- 5557 E Santa Ana Canyon Rd
Suite 207
Anaheim, CA 92807-3128 - Phone
- (909) 373-5910
- NPI assigned
- Aug 28, 2015
- Last updated
- Aug 28, 2015
- 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 | AC 13432 | CA | Primary |
Addresses
Primary practice location
5557 E Santa Ana Canyon Rd
Suite 207
Anaheim, CA 92807-3128
Mailing address
5557 E Santa Ana Canyon Rd
Suite 207
Anaheim, CA 92807-3128
Phone (909) 373-5910
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 13432 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1912374661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5557 E SANTA ANA CANYON RD",
"address_2": "SUITE 207",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073128",
"telephone_number": "909-373-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5557 E SANTA ANA CANYON RD",
"address_2": "SUITE 207",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073128",
"telephone_number": "909-373-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JINWON",
"name_prefix": "Dr.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 13432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.