Bonwellness Clinic, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC13811 Issued in CA

Legal business name

BONWELLNESS CLINIC, INC

Practice address

7212 Orangethorpe Ave
Ste 6
Buena Park, CA 90621-3341

Phone

(714) 520-1359

Fax

(714) 509-1616

NPI assigned

Feb 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jae Sung ByunNPI 1841550399

Title

Director

Phone

(714) 520-1359

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.

• Jae Sung Byun

  • Acupuncturist
  • Buena Park, CA
  • NPI 1841550399
  NPD (past) Authorized official

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455321600000",
    "number": "1124486527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 ORANGETHORPE AVE",
            "address_2": "STE 6",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213341",
            "telephone_number": "714-520-1359",
            "fax_number": "714-509-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 ORANGETHORPE AVE",
            "address_2": "STE 6",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213341",
            "telephone_number": "714-520-1359",
            "fax_number": "714-509-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONWELLNESS CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-13",
        "status": "A",
        "authorized_official_last_name": "BYUN",
        "authorized_official_first_name": "JAE SUNG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-520-1359",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Bloemhof, RN
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• Raymond Boetger, MS CCC-SLP
• Maria Luisa Bollier, PT DPT CHT
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• Maria Theresa Borromeo, LVN
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• Acupuncturist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.