JAE SEOB KIM (NPI# 1629130281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629130281 |
| Entity Type | Individual |
| Full Name | JAE SEOB KIM |
| Credential | L.AC |
| Practice Address |
9900 Balboa Blvd Suite A Northridge CA 91325-5403 |
| Mailing Address |
24111 Meadowbrook Ln Valencia CA 91354-1881 |
| Practice Telephone | 8187010017 |
| Practice Fax Number | 8187010073 |
| Mailing Telephone | 6612873464 |
| Mailing Fax Number | 6612592973 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC10811 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSED ACUPUNCTURIST | AC10811 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558778100 | Jae Kim | Pharmacist | 14474 37th Ave, 1st Floor, Flushing, NY 11354-5934 | 2014-07-15 |
| 1215274865 | Jae S. Kim | Dentist | 1025 N Fillmore St, A, Arlington, VA 22201-6701 | 2013-01-15 |
| 1306112875 | Jae Hee Kim | Pharmacist | 1202 N 10th Pl Apt 1214, Renton, WA 98057-5635 | 2012-03-28 |
| 1548531536 | Jae Chil Kim | Physical Medicine & Rehabilitation | 107 Redcliff Dr, Jefferson Hills, PA 15025-3139 | 2012-01-23 |
| 1407143191 | Jae Man Kim | Acupuncturist | 3409 W Burbank Blvd, Burbank, CA 91505-2233 | 2011-07-01 |
| 1609168327 | Jae Y Kim | Otolaryngology | 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 | 2011-05-12 |
| 1689849176 | Jae Hyun Kim | Prosthetist | 1918 Coliseum Blvd, Greensboro, NC 27403-3211 | 2008-04-25 |
| 1477745388 | Jae Woo Kim | Dentist | 403 N Five Points Rd, West Chester, PA 19380-4632 | 2007-08-14 |
| 1083832273 | Jae Gwon Kim | Dentist | 777 N. Rainbow Blvd., Ste. 395, Las Vegas, NV 89107 | 2007-04-23 |
| 1043359482 | Jae Seung Kim | Acupuncturist | 3400 W Olympic Bl, Ste207, Los Angeles, CA 90019-2122 | 2007-02-05 |
| Street Address |
9900 BALBOA BLVD SUITE A |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073554168 | Conrad J R Miranda Iv | General Practice | 9900 Balboa Blvd, Suite A, Northridge, CA 91325-5403 | 2006-06-09 |
| 1366731762 | Raeesy Md Inc | Internal Medicine | 9900 Balboa Blvd, Suite A, Northridge, CA 91325-5403 | 2011-04-06 |
| 1467753038 | Lidia Mendoza | Massage Therapist | 9900 Balboa Blvd, Suite B, Northridge, CA 91325-5403 | 2010-11-12 |
| 1902106560 | Stacey Kikumi Naito | Dermatology | 9900 Balboa Blvd, Suite E, Northridge, CA 91325-5403 | 2010-10-29 |
| 1487822086 | Khatul Andkhoy | Acupuncturist | 9900 Balboa Blvd, Suite B, Northridge, CA 91325-5403 | 2008-02-15 |
| 1215132238 | Balboa Medical & Wellness Center,inc. | General Practice | 9900 Balboa Blvd, Suite E, Northridge, CA 91325-5403 | 2007-06-19 |
| 1124189501 | Hee Jong L Choi | Acupuncturist | 9900 Balboa Blvd, Suite A, Northridge, CA 91325-5403 | 2006-12-12 |
| 1689756132 | Northridge Physical Therapy Center,inc | Physical Therapist | 9900 Balboa Blvd, Suite C, Northridge, CA 91325-5403 | 2006-10-20 |
| 1417044132 | Amir Homayon Raeesy-nezhad | Internal Medicine | 9900 Balboa Blvd, Suite A, Northridge, CA 91325-5403 | 2006-10-06 |
| 1407869928 | Great Spirit Medical Group,inc | Family Medicine | 9900 Balboa Blvd, Suite A, Northridge, CA 91325-5403 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508329236 | Himeno Tamura Vigo | Acupuncturist | 10435 Lindley Ave Apt 201, Northridge, CA 91326-3547 | 2019-04-10 |
| 1184138414 | Oessencials, Inc. | Acupuncturist | 9327 Donna Ave, Northridge, CA 91324-2808 | 2017-11-22 |
| 1528572146 | Tom Sungchul Yang | Acupuncturist | 9036 Reseda Blvd Ste 204, Northridge, CA 91324-5895 | 2017-11-17 |
| 1265976369 | Andrea Dorothea Winchester-chang | Acupuncturist | 9740 Zelzah Ave, #233, Northridge, CA 91325-4675 | 2016-12-07 |
| 1932572534 | Cheol Kim | Acupuncturist | 9535 Reseda Blvd Ste 101, Northridge, CA 91324-6021 | 2015-11-04 |
| 1063851269 | Huan Yin | Acupuncturist | 17646 Lassen St, Suite 2, Northridge, CA 91325-1452 | 2013-06-20 |
| 1487906723 | Mizi Kang | Acupuncturist | 10211 Balboa Blvd, Northridge, CA 91325-1615 | 2012-10-10 |
| 1316276561 | Soo Yeon Lee | Acupuncturist | 18170 Andrea Cir S Unit 2, Northridge, CA 91325-1141 | 2009-12-17 |
| 1871752634 | Lucy Cooper | Acupuncturist | 18533 Roscoe Blvd # 195, Northridge, CA 91324-4632 | 2008-06-06 |
| 1265602734 | Jeremy Speiser | Acupuncturist | 9018 Balboa Blvd # 577, Northridge, CA 91325-2610 | 2008-03-11 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
Please comment or provide details below to improve the information on JAE SEOB KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.