Active NPI
Jinhee Kim
- Acupuncturist
- Los Alamitos, CA
National Provider Identifier
1932659083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 17309
- Practice address
- 3842 Green Ave
#1
Los Alamitos, CA 90720-3331 - Phone
- (213) 820-4532
- NPI assigned
- Oct 12, 2016
- Sex
- Female
- 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 17309 | CA | Primary |
Addresses
Primary practice location
3842 Green Ave
#1
Los Alamitos, CA 90720-3331
Mailing address
3842 Green Ave
#1
Los Alamitos, CA 90720-3331
Phone (213) 820-4532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC 17309 | Other | CA | ACUPUNCTURE BOARD |
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 17309 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 633 Acupuncture Inc. | Acupuncturist | Current | Accepting new patients |
Locations
13353 Alondra Blvd
Ste 105
Santa Fe Springs, CA 90670
Phone (213) 296-7770
Organizations & group practices 1
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": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1932659083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3842 GREEN AVE",
"address_2": "#1",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203331",
"telephone_number": "213-820-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3842 GREEN AVE",
"address_2": "#1",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203331",
"telephone_number": "213-820-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JINHEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 17309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE BOARD",
"identifier": "AC 17309",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.