Organization Active NPI

Shin Acupuncture and Herbs, Inc.

  • Acupuncturist
  • Glendale, CA
National Provider Identifier
1093738494
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SHIN ACUPUNCTURE AND HERBS, INC.
Practice address
435 Arden Ave Ste 510
Glendale, CA 91203-1137
Phone
(818) 240-6163
Fax
(818) 240-3735
NPI assigned
Jul 26, 2006
Last updated
Jun 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Kyo Chang, D.C., L.AC.NPI 1487678884
Title
Director
Phone
(818) 240-6163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CA
Acupuncturist 171100000X CA Primary

Addresses

Primary practice location

435 Arden Ave Ste 510
Glendale, CA 91203-1137

Mailing address

435 Arden Ave Ste 510
Glendale, CA 91203-1137
Phone (818) 240-6163

National Provider Directory

National Provider Directory
Tax ID family
Shin Acupuncture and Herbs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

435 Arden Ave
Ste 510
Glendale, CA 91203
Phone (818) 240-6163

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1093738494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 510",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031137",
            "telephone_number": "818-240-6163",
            "fax_number": "818-240-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 510",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031137",
            "telephone_number": "818-240-6163",
            "fax_number": "818-240-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN ACUPUNCTURE AND HERBS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KYO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-240-6163",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.