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PRIMO CHIROPRACTIC & ACUPUNCTURE
NPI 1720559396
Chiropractor in Valencia, CA

Active since December 07, 2018
25000 AVENUE STANFORD STE 174, VALENCIA, CA 91355(323) 203-4414 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 19, 2020, Dec 7, 2018 (2 updates tracked since 2018).

About Primo Chiropractic & Acupuncture NPPES

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

PRIMO CHIROPRACTIC & ACUPUNCTURE (NPI 1720559396) is a healthcare organization registered as a chiropractor in Valencia, California and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Anaheim and lists Soo Jin Jin Kim, Doctor, as its authorized official.

NPPES Registry Identity

NPI1720559396
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOO JIN KIM CHIROPRACTIC INC
Location Address25000 AVENUE STANFORD STE 174Valencia, CA 91355-4596
Mailing Address819 S Alvarado St Ste 202Los Angeles, CA 90057-4085 · (323) 203-4414 · Fax (213) 352-4069
Phone(323) 203-4414
Organization SubpartNo
Authorized OfficialSoo Jin Jin KimDoctor · (323) 203-4414
Enumeration DateDecember 7, 2018
Last NPPES UpdateFebruary 19, 20202 updates tracked since enumeration
✔ NPI 1720559396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedAcupuncturistTaxonomy 171100000X
25000 AVENUE STANFORD STE 174, Valencia, CA 91355
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Other Names 1

Doing Business AsPrimo Chiropractic & Acupuncture

Secondary Practice Location 1

Location 1520 N Brookhurst St Ste 232Anaheim, CA 92801-5228 · Phone (323) 203-4414

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primo Chiropractic & Acupuncture is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Primo Chiropractic & Acupuncture, which bills Medicare for the services this clinician delivers.

Clinician (1)

Soo Jin Kim, D.C., L.AC.
Chiropractic
NPI 1548570740
3232 SEPULVEDA BLVD
Torrance, CA 90505
(310) 257-8800
46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Soo Jin Kim Chiropractic Inc's NPI number?

The NPI number for Soo Jin Kim Chiropractic Inc is 1720559396. It was assigned to this organization in the NPPES registry on December 7, 2018. The provider is doing business as Primo Chiropractic & Acupuncture.

Where is Soo Jin Kim Chiropractic Inc located?

Soo Jin Kim Chiropractic Inc is located at 25000 Avenue Stanford Ste 174, Valencia, CA 91355. The listed phone number is (323) 203-4414.

What is Soo Jin Kim Chiropractic Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Soo Jin Kim Chiropractic Inc enrolled in Medicare?

Yes. Soo Jin Kim Chiropractic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soo Jin Kim Chiropractic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Soo Jin Kim Chiropractic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Soo Jin Kim Chiropractic Inc was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.