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Active NPI 1336924646 Individual Practitioner Male Practitioner

Changbae Kim , LAC

Acupuncturist • Fullerton, CA

Professional Overview & Biography Verified Profile Summary

Changbae Kim, LAC is a registered healthcare professional specializing in Acupuncturist in Fullerton, CA. Practice services are available at 100 N STATE COLLEGE BLVD STE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 N State College Blvd Ste E

Fullerton, CA 928314236

Telephone 5628228912
Associated Practice Facility / Clinic
🏢 Smt Acupuncture, Inc. Facility NPI 1427833730

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Fullerton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
118 Specialists

Practicing in Fullerton, CA (11031 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-26
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License CA AC17583

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 28, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2023

Registered at 100 N STATE COLLEGE BLVD STE E, FULLERTON, CA 928314236 (Tel: 5628228912)

📍
Updated Business Mailing Address August 28, 2023

Registered at 13229 CAROLYN ST, CERRITOS, CA 907038605 (Tel: 5628228912)

👤
Provider Name / Credentials Updated August 28, 2023

Recorded as CHANGBAE KIM, L.AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2023

Acupuncturist (License #AC17583 in CA)

🟢
Initial NPI Registration & Enumeration August 28, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336924646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2023
Last Update: August 28, 2023
Sole Proprietor: No

Mailing Address

13229 Carolyn St

Cerritos, CA 907038605

Phone: 5628228912

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.