Marina Acupuncture Clinic, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 1513 Issued in CA

Legal business name

MARINA ACUPUNCTURE CLINIC, INC.

Practice address

20410 Town Center LN Ste 150
Cupertino, CA 95014-3230

Phone

(408) 384-8134

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Chang Kim, L.AC, O.M.D.

Title

President

Phone

(831) 236-4280

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joon Kim, L.AC.

  • Acupuncturist
  • Cupertino, CA
  • NPI 1063882249
  NPD (past)

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1104295930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19133 COZETTE LN",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143538",
            "telephone_number": "831-236-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 TOWN CENTER LN STE 150",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143230",
            "telephone_number": "408-384-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA ACUPUNCTURE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-236-4280",
        "authorized_official_credential": "L.AC, O.M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarpreet Mann
• Malia Mar
• Ronald Harry Marashian, D.C.
• Araceli Marcos-Seley, RPT
• Mariella Lauriola Psychologist Inc
• Catherine Mary Marino, PSY.D.
• Marisa Chiropractic Inc.
• Maricel Bugarin Marquez
• Erika Martinez Meraz
• Raul Antonio Martinez Jr.

• Acupuncturist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.