Harrison Jongku Kim, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11009 Issued in CA

Practice address

1201 S. Beach Blvd.,
Suite 102
La Habra, CA 90631-9900

Phone

(502) 902-1010

Fax

(502) 902-1010

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jong Ku Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1922135698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S. BEACH BLVD.,",
            "address_2": "SUITE 102",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319900",
            "telephone_number": "502-902-1010",
            "fax_number": "502-902-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S. BEACH BLVD.,",
            "address_2": "SUITE 102",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319900",
            "telephone_number": "502-902-1010",
            "fax_number": "502-902-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HARRISON",
        "middle_name": "JONGKU",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONG KU",
            "last_name": "KIM",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Kim, O.D.
• Eun Hee Kim, L.AC
• Hae Suk Kim, DDS
• Haeeun Kim, ASSOCIATE'S DEGREES
• Hanna Kim, PHARM.D
• Heoijin Kim, DDS
• Howard Kim, DDS
• Hyejin Kim, ACUPUNCTURIST
• Il Hwan Kim
• Inn Hwa Kim

• Acupuncturist in La Habra, CA
• Providers in La Habra, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.