Organization Active NPI

Yangdong Kim Chiropractic Inc.

  • Chiropractor
  • Chino Hills, CA
National Provider Identifier
1982193355
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32153 Issued in CA
Legal business name
YANGDONG KIM CHIROPRACTIC INC.
Practice address
4200 Chino Hills Pkwy Ste 900
Chino Hills, CA 91709-3784
Phone
(714) 296-2905
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Dr. Yangdong Kim, DC., DAOM., LAC.
Title
President
Phone
(714) 296-2905

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 32153 CA Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 14488 CA

Addresses

Primary practice location

4200 Chino Hills Pkwy Ste 900
Chino Hills, CA 91709-3784

Mailing address

4200 Chino Hills Pkwy Ste 900
Chino Hills, CA 91709-3784
Phone (714) 296-2905

Other names 1

  • NeuroBalance Chiropractic & Acupuncture Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4200 Chino Hills Pkwy
Ste 900
Chino Hills, CA 91709
Phone (714) 296-2905

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1982193355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY STE 900",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093784",
            "telephone_number": "714-296-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY STE 900",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093784",
            "telephone_number": "714-296-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANGDONG KIM CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YANGDONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-296-2905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC., DAOM., LAC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32153",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroBalance Chiropractic & Acupuncture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.