Advanced Traditional Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ADVANCED TRADITIONAL ACUPUNCTURE

Doing business as

Advanced Acupuncture

Practice address

27403 Ynez Rd Ste 214
Temecula, CA 92591-4618

Phone

(951) 308-2646

Fax

(951) 308-6059

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kwang Bum Lee, ACNPI 1013056688

Title

Acupuncturist

Phone

(951) 308-2646

Specialties & licenses 1

Addresses

Other names 1

• Advanced Acupuncture Doing business as

Locations

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.

• Kwang Bum Lee, L..AC

  • Acupuncturist
  • La Mirada, CA
  • NPI 1013056688
  NPD Authorized official

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1063294544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD STE 214",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914618",
            "telephone_number": "951-308-2646",
            "fax_number": "951-308-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD STE 214",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914618",
            "telephone_number": "951-308-2646",
            "fax_number": "951-308-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TRADITIONAL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KWANG",
        "authorized_official_middle_name": "BUM",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "951-308-2646",
        "authorized_official_credential": "AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Temecula, CA
• Providers in Temecula, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.