Organization Active NPI

Acubalance Acupuncture Corp.

  • Acupuncturist
  • Menlo Park, CA
National Provider Identifier
1003575317
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ACUBALANCE ACUPUNCTURE CORP.
Practice address
1220 University Dr # 202B
Menlo Park, CA 94025-4262
Phone
(669) 529-7767
NPI assigned
Dec 14, 2021
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Yong Gyu Han, LACNPI 1093472508
Title
President
Phone
(408) 314-5472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

1220 University Dr # 202B
Menlo Park, CA 94025-4262

Mailing address

300 Baltic Cir Unit 322
Redwood City, CA 94065-2249
Phone (669) 529-7767

National Provider Directory

National Provider Directory

Locations

1220 University Dr
#202B
Menlo Park, CA 94025
Phone (408) 314-5472

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1003575317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BALTIC CIR UNIT 322",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940652249",
            "telephone_number": "669-529-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 UNIVERSITY DR # 202B",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254262",
            "telephone_number": "669-529-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUBALANCE ACUPUNCTURE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "YONG GYU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-314-5472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.