St. Luke University

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 5732 Issued in CA

Legal business name

ST. LUKE UNIVERSITY

Practice address

1460 E Holt Ave
Suite 72
Pomona, CA 91767-5856

Phone

(909) 623-0302

Fax

(909) 623-0480

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kim Young Kim

Title

President

Phone

(909) 623-0302

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young Dae Kim, L. AC.

  • Acupuncturist
  • Pomona, CA
  • NPI 1396803243
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1922289503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 E HOLT AVE",
            "address_2": "SUITE 72",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675856",
            "telephone_number": "909-623-0302",
            "fax_number": "909-623-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 E HOLT AVE",
            "address_2": "SUITE 72",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675856",
            "telephone_number": "909-623-0302",
            "fax_number": "909-623-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-623-0302",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 5732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristian Paolo Roxas Sta Ana, RPH
• Lisa L Stahr, NP
• Garett Staley, LCSW
• Priscila Stanfield, LVN
• Maria Paulina Stanley, DO

• Acupuncturist in Pomona, CA
• Providers in Pomona, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.