NPIMap

Organization Active NPI

Yangdong Kim Chiropractic Inc.

Doing business as NeuroBalance Chiropractic & Acupuncture Clinic

  • 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.
Doing business as
NeuroBalance Chiropractic & Acupuncture Clinic
Practice address
4200 Chino Hills Pkwy Ste 900
Chino Hills, CA 91709-3784
Phone
(714) 296-2905
NPI assigned
May 1, 2018
Last updated
May 1, 2018By the provider in NPPES
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.NPI 1306186671
Title
President
Phone
(714) 296-2905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.