MISS JIYEON KIM L.AC
NPI 1215155759
Acupuncturist in San Bernardino, CA

Q: What is Jiyeon Kim's NPI number?

The NPI number for Jiyeon Kim is 1215155759. It was assigned to this individual provider in the NPPES registry on April 22, 2007.

Q: What is Jiyeon Kim's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Jiyeon Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2007

2160 S WATERMAN AVE STE D, SAN BERNARDINO, CA 92408(909) 433-9911 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Jiyeon Kim L.ac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JIYEON KIM L.AC (NPI 1215155759) is an individual acupuncturist in San Bernardino, California, licensed in California (AC 8676) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1215155759

Entity TypeIndividualFemale

Primary Taxonomy171100000X

Provider Legal NameMISS JIYEON KIMCredential: L.AC

Location Address2160 S WATERMAN AVE STE DSan Bernardino, CA 92408-3746

Mailing Address24244 Sylvan Glen Rd Unit FDiamond Bar, CA 91765-4535 · (213) 999-3851 · Fax (909) 860-5577

Phone(909) 433-9911

Sole ProprietorNo

Enumeration DateApril 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215155759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in CA · AC 8676

Definition

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.

2160 S WATERMAN AVE STE D, San Bernardino, CA 92408

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Other Identifiers 1

OtherAC 8676CA · Acupunturist

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jiyeon Kim's NPI number?

The NPI number for Jiyeon Kim is 1215155759. It was assigned to this individual provider in the NPPES registry on April 22, 2007.

Where is Jiyeon Kim located?

Jiyeon Kim practices at 2160 S Waterman Ave Ste D, San Bernardino, CA 92408. The listed phone number is (909) 433-9911.

What is Jiyeon Kim's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Jiyeon Kim accept?

Health plans from Providence Health Plan list Jiyeon Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jiyeon Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.