Mac Oriental Medicine Clinic Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

14345 Issued in CA

Legal business name

MAC ORIENTAL MEDICINE CLINIC INC

Practice address

4009 Wilshire Blvd Ste 200C
Los Angeles, CA 90010-3407

Phone

(213) 514-2877

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Kwang Hoon An

Title

Secratary

Phone

(213) 245-8704

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1033550371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 WILSHIRE BLVD STE 200C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103407",
            "telephone_number": "213-514-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 WILSHIRE BLVD STE 200C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103407",
            "telephone_number": "213-514-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC ORIENTAL MEDICINE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "KWANG HOON",
        "authorized_official_title_or_position": "SECRATARY",
        "authorized_official_telephone_number": "213-245-8704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesutofumni Mabo
• John Mabo, RAS
• Christie Michelle Mabry, RD
• Erin Mac Donald
• Catherine Hanlon Mac Lean, MD
• Cathy Mac, PHARM.D.
• Sandra Mac
• Agilio Macabasco, PA-C
• Benjamin Macadangdang
• Joseph Macalalad, PA-C

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.