Organization Active NPI

East Wellness Inc

  • Acupuncturist
  • Redondo Beach, CA
National Provider Identifier
1093300469
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EAST WELLNESS INC
Practice address
1603 Aviation Blvd Ste B
Redondo Beach, CA 90278-2855
Phone
(424) 206-1790
Fax
(424) 452-6190
NPI assigned
Mar 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Authorized official

Name
Jai Sung Ha, LAC
Title
President
Phone
(424) 206-1790

Specialties & licenses 1

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

Addresses

Primary practice location

1603 Aviation Blvd Ste B
Redondo Beach, CA 90278-2855

Mailing address

1603 Aviation Blvd Ste B
Redondo Beach, CA 90278-2855
Phone (424) 206-1790

National Provider Directory

National Provider Directory

Locations

1603 Aviation Blvd
Ste B
Redondo Beach, CA 90278
Phone (310) 469-1178

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": "1615075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615075200000",
    "number": "1093300469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 AVIATION BLVD STE B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782855",
            "telephone_number": "424-206-1790",
            "fax_number": "424-452-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 AVIATION BLVD STE B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782855",
            "telephone_number": "424-206-1790",
            "fax_number": "424-452-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "JAI SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-206-1790",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.