Individual provider Active NPI

Lois Sunglim Kim, L.AC

  • Acupuncturist
  • Mission Viejo, CA
National Provider Identifier
1922520550
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15735 Issued in CA
Practice address
27725 Santa Margarita Pkwy Ste 102
Mission Viejo, CA 92691-6706
Phone
(949) 229-7657
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15735 CA Primary

Addresses

Primary practice location

27725 Santa Margarita Pkwy Ste 102
Mission Viejo, CA 92691-6706

Mailing address

27725 Santa Margarita Pkwy Ste 102
Mission Viejo, CA 92691-6706
Phone (949) 229-7657

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AC15735CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Forlife Acu-Med Acupuncture Corporation Current Accepting new patients
Bliss Acupuncture Clinic Inc Acupuncturist Past Accepting new patients

Locations

27725 Santa Margarita Pkwy
Ste 102
Mission Viejo, CA 92691
Phone (949) 229-7657

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1922520550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 102",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916706",
            "telephone_number": "949-229-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 102",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916706",
            "telephone_number": "949-229-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LOIS",
        "middle_name": "SUNGLIM",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.