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Active NPI 1538479563 Individual Practitioner Female Practitioner

Soo Gyung Kim , LAC, OMD

Acupuncturist • Glendale, CA

Professional Overview & Biography Verified Profile Summary

Soo Kim, LAC, OMD is a registered healthcare professional specializing in Acupuncturist in Glendale, CA. Practice services are available at 610 N CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

610 N Central Ave
Suite 202

Glendale, CA 912031403

Telephone 8182446792
Fax 8182447477
Associated Practice Facility / Clinic
🏢 Zeta Diagnostic Inc Facility NPI 1750395174

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Glendale, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
66 Specialists

Practicing in Glendale, 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 AC9146

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Mehrdad Joukar

Acupuncturist

NPI 1376963033
Dr. Marjan Pourdavood , DC, QME

Chiropractor - Orthopedic

NPI 1588911150

Doctor of Chiropractic, QME

Dr. Edward Stokes , MD

Orthopaedic Surgery

NPI 1770684946

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2010

Registered at 610 N CENTRAL AVE, SUITE 202, GLENDALE, CA 912031403 (Tel: 8182446792)

📍
Updated Business Mailing Address October 08, 2010

Registered at 610 N CENTRAL AVE, SUITE 202, GLENDALE, CA 912031403 (Tel: 8182446792)

👤
Provider Name / Credentials Updated October 08, 2010

Recorded as SOO KIM, L.AC., O.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2010

Acupuncturist (License #AC9146 in CA)

🟢
Initial NPI Registration & Enumeration October 08, 2010

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: 1538479563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2010
Last Update: October 08, 2010
Sole Proprietor: Yes

Mailing Address

610 N Central Ave, Suite 202

Glendale, CA 912031403

Phone: 8182446792

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.