Organization Active NPI

Wellness Chiropractic Group

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1093034969
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28105 Issued in CA
Legal business name
WELLNESS CHIROPRACTIC GROUP
Practice address
4482 Barranca Pkwy
Suite 190
Irvine, CA 92604-7701
Phone
(949) 552-7033
Fax
(949) 552-7006
NPI assigned
May 18, 2010
Organization subpart
Yes
Parent organization
WELLNESS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Dr. Hyuck Kim, DC
Title
Ceo
Phone
(949) 552-7033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28105 CA Primary

Addresses

Primary practice location

4482 Barranca Pkwy
Suite 190
Irvine, CA 92604-7701

Mailing address

4482 Barranca Pkwy
Suite 190
Irvine, CA 92604-7701
Phone (949) 552-7033

National Provider Directory

National Provider Directory
Part of
Wellness Chiropractic Group Inc

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": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1093034969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY",
            "address_2": "SUITE 190",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047701",
            "telephone_number": "949-552-7033",
            "fax_number": "949-552-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY",
            "address_2": "SUITE 190",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047701",
            "telephone_number": "949-552-7033",
            "fax_number": "949-552-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CHIROPRACTIC GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS MEDICAL GROUP",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-552-7033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.