Individual provider Active NPI

Hong J Kim, L.AC

  • Acupuncturist
  • Rosemead, CA
National Provider Identifier
1992959316
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 10953 Issued in CA
Practice address
3733 Rosemead Blvd
Suite 105
Rosemead, CA 91770-1981
Phone
(626) 307-1003
Fax
(626) 307-1056
NPI assigned
Nov 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 10953 CA Primary

Addresses

Primary practice location

3733 Rosemead Blvd
Suite 105
Rosemead, CA 91770-1981

Mailing address

3733 Rosemead Blvd
Suite 105
Rosemead, CA 91770-1981
Phone (626) 307-1003

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
AC 10953CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1992959316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 ROSEMEAD BLVD",
            "address_2": "SUITE 105",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701981",
            "telephone_number": "626-307-1003",
            "fax_number": "626-307-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 ROSEMEAD BLVD",
            "address_2": "SUITE 105",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701981",
            "telephone_number": "626-307-1003",
            "fax_number": "626-307-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HONG",
        "middle_name": "J",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.