Spencer Woo Kim, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC7994 Issued in CA

Practice address

3440 Wilshire Blvd
Suite #280
Los Angeles, CA 90010-2101

Phone

(213) 884-2090

Fax

(213) 221-4719

NPI assigned

Oct 16, 2006

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

• Spencer Woo 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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1952481020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E 2ND ST",
            "address_2": "#307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124239",
            "telephone_number": "213-884-2090",
            "fax_number": "213-221-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 WILSHIRE BLVD",
            "address_2": "SUITE #280",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102101",
            "telephone_number": "213-884-2090",
            "fax_number": "213-221-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SPENCER",
        "middle_name": "WOO",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SPENCER",
            "last_name": "KIM",
            "middle_name": "WOO",
            "credential": "ACUPUNCTURIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Soong Yeon Kim
• Sophia Kim, MSW
• Soyeon Kim
• Soyeon J Kim, FNP-BC
• Soyeong Kim
• Stacey Kim, M.D.
• Stacey R Kim
• Stacey Sooyeon Kim
• Stacy Kim
• Stan S Kim

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.