Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679194567 Individual Practitioner Male Practitioner

Seongjo Kim

Acupuncturist • Stanton, CA

Professional Overview & Biography Verified Profile Summary

Seongjo Kim is a registered healthcare professional specializing in Acupuncturist in Stanton, CA. Practice services are available at 12362 BEACH BLVD STE 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Telephone 7142489500
Fax 7146224943
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Stanton, CA

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

Practicing in Stanton, 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: 2023-04-08
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License CA 18840

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

13 Associated Practitioners
NPI 1093905481

Doctor of Dental Surgery

Heejin Kim , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1184242976

NURSEPRACTITIONER

Anna Jang , FNP

Nurse Practitioner - Family

NPI 1184340333

Family Nurse Practitioner

NPI 1356035653

NURSEPRACTITIONER

NPI 1356821060

Doctor of Philosophy (Ph.D.)

NPI 1427432756

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 10, 2023

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

📍
Updated Business Mailing Address April 10, 2023

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

NPI Profile Active May 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2020

Registered at 49 GRAY DOVE, IRVINE, CA 926188811 (Tel: 7146759267)

📍
Updated Business Mailing Address May 01, 2020

Registered at 4790 IRVINE BLVD STE 105, IRVINE, CA 926201998 (Tel: 7146759267)

👤
Provider Name / Credentials Updated May 01, 2020

Recorded as SEONGJO KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2020

Acupuncturist (License #18840 in CA)

🟢
Initial NPI Registration & Enumeration May 01, 2020

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: 1679194567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2020
Last Update: April 10, 2023
Sole Proprietor: Yes

Mailing Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Phone: 7142489500

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.