Active NPI
Acubalance Acupuncture Corp.
- Acupuncturist
- Menlo Park, CA
National Provider Identifier
1003575317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yong Gyu Han, LAC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Acupuncturist
- Menlo Park, CA
- NPI 1093472508
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.