Sung Bo Acupuncture & Herbs

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

62 Issued in AK

Legal business name

SUNG BO ACUPUNCTURE & HERBS

Practice address

4050 Lake Otis Pkwy Ste 107
Anchorage, AK 99508-5220

Phone

(907) 561-1828

Fax

(907) 561-1834

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grace Hwang, PH.D., L.AC.

Title

Partner

Phone

(907) 561-1828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093934614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 LAKE OTIS PKWY STE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085220",
            "telephone_number": "907-561-1828",
            "fax_number": "907-561-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 LAKE OTIS PKWY STE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085220",
            "telephone_number": "907-561-1828",
            "fax_number": "907-561-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG BO ACUPUNCTURE & HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "907-561-1828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "62",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.