NPIMap

Organization Active NPI

Seo Acupuncture & Herb Clinic, Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1063957439
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5185 Issued in CA
Legal business name
SEO ACUPUNCTURE & HERB CLINIC, INC.
Practice address
2775 W Olympic Blvd
Los Angeles, CA 90006-2632
Phone
(213) 822-2330
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Paul Seo
Title
Ceo
Phone
(213) 822-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC5185 CA Primary

Addresses

Primary practice location

2775 W Olympic Blvd
Los Angeles, CA 90006-2632

Mailing address

2775 W Olympic Blvd
Los Angeles, CA 90006-2632

Other identifiers 1

IdentifierTypeStateIssuer
AC5185OtherCAACUPUNCTURE BOARD

National Provider Directory

National Provider Directory

Locations

2775 W Olympic Blvd
Los Angeles, CA 90006
Phone (213) 822-2330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1063957439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062632",
            "telephone_number": "213-822-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEO ACUPUNCTURE & HERB CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-822-2330"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE BOARD",
            "identifier": "AC5185",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.