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Deactivated NPI 1619048881 Deactivated / Inactive NPI Female Practitioner

Jean Young Kim , OMD LAC

Acupuncturist • Pasadena, 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, Jean Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2006
NPI Deactivation Date August 09, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Jean Kim, OMD LAC was a registered Acupuncturist practicing in Pasadena, CA. Throughout an active medical career spanning 17 years, Jean Kim provided care at the practice location at 2100 E COLORADO BLVD until profile deactivation on 2023-08-09.

Practice Location & Contact Primary Location

Practice Address

2100 E Colorado Blvd

Pasadena, CA 911073545

Telephone 6267966050
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Pasadena, CA

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

Practicing in Pasadena, 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 AC3844

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

1 Associated Practitioners
Emill Kim , OMDLAC

Acupuncturist

NPI 1801967070

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 August 09, 2023

Record deactivated on August 09, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2100 E COLORADO BLVD, PASADENA, CA 911073545 (Tel: 6267966050)

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Updated Business Mailing Address July 08, 2007

Registered at 500 EATON DR, PASADENA, CA 911072856

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEAN KIM, OMD L.AC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Acupuncturist (License #AC3844 in CA)

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Initial NPI Registration & Enumeration November 10, 2006

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: 1619048881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: July 08, 2007
Deactivation Date: August 09, 2023

Mailing Address

500 Eaton Dr

Pasadena, CA 911072856

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

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