Daehwan Kim, L,AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

18276 Issued in CA

Practice address

421 N Brookhurst St Ste 124
Anaheim, CA 92801-5618

Phone

(213) 471-5294

NPI assigned

Mar 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Daniel Kim Other 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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1942761747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9531 SLATER AVE APT 17",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084651",
            "telephone_number": "213-471-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 124",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "213-471-5294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9531 Slater Ave Apt 17",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927084651",
            "country_code": "US",
            "telephone_number": "213-471-5294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAEHWAN",
        "credential": "L,AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "KIM",
            "credential": "L,AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chongweon Kim
• Christina Kim, DMD
• Christine Jin Kim, PHARM. D, RPH
• Chung-Lim Kim, M.D.
• Daebeomm Kim
• Daniel Rhee Kim, MD
• David Kim
• David B. Kim, MD
• David H Kim, DDS
• Diane Kim, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.