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Deactivated NPI 1821534959 Deactivated / Inactive NPI Female Practitioner

Bae Kim , L AC

Acupuncturist • Gardena, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bae Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 12, 2017
NPI Deactivation Date July 24, 2025
Total Practice Duration ~8 Years of Practice (2017 – 2025)

Professional Overview & Biography Verified Profile Summary

Bae Kim, L AC was a registered Acupuncturist practicing in Gardena, CA. Throughout an active medical career spanning 8 years, Bae Kim provided care at the practice location at 15500 S NORMANDIE AVE # B until profile deactivation on 2025-07-24.

Practice Location & Contact Primary Location

Practice Address

15500 S Normandie Ave # B

Gardena, CA 902474014

Telephone 3106501303

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Gardena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
45 Specialists

Practicing in Gardena, 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

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License CA AC7073

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

7 Historical Events
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NPI Profile Deactivated July 24, 2025

Record deactivated on July 24, 2025

NPI Profile Active January 12, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 12, 2017

Registered at 15500 S NORMANDIE AVE # B, GARDENA, CA 902474014 (Tel: 3106501303)

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Updated Business Mailing Address January 12, 2017

Registered at 15500 S NORMANDIE AVE # B, GARDENA, CA 902474014 (Tel: 3106501303)

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Provider Name / Credentials Updated January 12, 2017

Recorded as BAE KIM, L. AC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2017

Acupuncturist (License #AC7073 in CA)

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Initial NPI Registration & Enumeration January 12, 2017

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: 1821534959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2017
Last Update: January 12, 2017
Deactivation Date: July 24, 2025

Mailing Address

15500 S Normandie Ave # B

Gardena, CA 902474014

Phone: 3106501303

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.