NPIMap

Organization Active NPI

King Moxa Acu Clinic Inc.

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1063890861
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
CA15920 Issued in CA
Legal business name
KING MOXA ACU CLINIC INC.
Practice address
7235 Orangethorpe Ave
Buena Park, CA 90621-3311
Phone
(714) 735-9666
Fax
(714) 266-0637
NPI assigned
May 12, 2015
Last updated
May 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Dae Il Won, L.AC.
Title
President
Phone
(714) 735-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X CA15920 CA Primary

Addresses

Primary practice location

7235 Orangethorpe Ave
Buena Park, CA 90621-3311

Mailing address

7235 Orangethorpe Ave
Buena Park, CA 90621-3311
Phone (714) 735-9666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1063890861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213311",
            "telephone_number": "714-735-9666",
            "fax_number": "714-266-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213311",
            "telephone_number": "714-735-9666",
            "fax_number": "714-266-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING MOXA ACU CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "DAE IL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-735-9666",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA15920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.