NPIMap

Organization Active NPI

Rapha Acupuncture Healing Center Inc

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1114198959
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 13557 Issued in CA
Legal business name
RAPHA ACUPUNCTURE HEALING CENTER INC
Practice address
1029 1/2 S Berendo St
Los Angeles, CA 90006-2603
Phone
(213) 388-1250
Fax
(213) 388-1350
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Mr. Jung Sun Kim, L.ACNPI 1457670655
Title
Cfo
Phone
(213) 388-1250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC 13557 CA Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC 12582 CA
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC 4900 CA

Addresses

Primary practice location

1029 1/2 S Berendo St
Los Angeles, CA 90006-2603

Mailing address

1029 1/2 S Berendo St
Los Angeles, CA 90006-2603
Phone (213) 388-1250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1114198959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 1/2 S BERENDO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062603",
            "telephone_number": "213-388-1250",
            "fax_number": "213-388-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 1/2 S BERENDO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062603",
            "telephone_number": "213-388-1250",
            "fax_number": "213-388-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA ACUPUNCTURE HEALING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNG SUN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "213-388-1250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13557",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 12582",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 4900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.