MR. SANG JO KIM L.AC. NPI 1902013741

NPI Information

  • NPI: 1902013741
  • Provider Name: MR. SANG JO KIM, L.AC.
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Individual
  • Address: 12402 INDUSTRIAL BLVD
    UNIT B2
    VICTORVILLE, CA
    ZIP 92395
  • Phone: (760) 428-2800

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NPI Details

MR. Sang Jo Kim, L.AC. is an acupuncturist in Victorville, CA. The provider is 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. MR. Sang Jo Kim, L.AC. NPI is 1902013741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12402 INDUSTRIAL BLVD
UNIT B2
VICTORVILLE, CA
ZIP 92395-871
Phone: (760) 428-2800

The enumeration date for this NPI number is 5/17/2007 and was last updated on 6/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistAC8143CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AC0081430OTHERCALIFORNIAMEDICAL
20600841MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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