Individual provider Active NPI

Hyun Jung Kim, ACUPUNCTURIST

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1962091975
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18941 Issued in CA
Practice address
1351 E Chapman Ave Ste G
Fullerton, CA 92831-3955
Phone
(213) 344-7134
Fax
(213) 341-2445
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18941 CA Primary

Addresses

Primary practice location

1351 E Chapman Ave Ste G
Fullerton, CA 92831-3955

Mailing address

972 Pomelo Way
Fullerton, CA 92832-2647
Phone (213) 344-7134

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

LicenseStateTypeSpecialty
18941CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Acupuncture Inc CurrentSince Mar 7, 2021 Accepting new patients

Locations

1351 E Chapman Ave
Ste G
Fullerton, CA 92831
Phone (213) 344-7134

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1962091975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 POMELO WAY",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322647",
            "telephone_number": "213-344-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 E CHAPMAN AVE STE G",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313955",
            "telephone_number": "213-344-7134",
            "fax_number": "213-341-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUN JUNG",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.