Misodam Acupuncture Clinic, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MISODAM ACUPUNCTURE CLINIC, INC

Practice address

680 Langsdorf Dr # 201
Fullerton, CA 92831-3702

Phone

(714) 582-5315

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Dongsuk Jang

Title

President

Phone

(714) 582-5315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1124480934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 LANGSDORF DR # 201",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313702",
            "telephone_number": "714-582-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 LANGSDORF DR # 201",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313702",
            "telephone_number": "714-582-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISODAM ACUPUNCTURE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "DONGSUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-582-5315"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricela Miranda
• Sandra Miranda
• Sanaz Mirbaha
• Mia Mirelez
• Tiara Misa
• David Andrew Mitchell, BS
• Gary Isaiah Mitchell
• Jessica Loren Mitchell
• Lauren Mitchell
• Leslie Allyson Mitchell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.