Glow Pacific Wellness, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC16949 Issued in CA

Legal business name

GLOW PACIFIC WELLNESS, INC

Practice address

15375 Barranca Pkwy Ste I105
Irvine, CA 92618-2210

Phone

(949) 537-9265

NPI assigned

Jun 10, 2018

Organization subpart

No

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

Authorized official

Name

Jun Woo Kim

Title

Ceo

Phone

(213) 500-5578

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Dongchul Jung

  • Acupuncturist
  • Irvine, CA
  • NPI 1427415983
  NPD (past)
• Gyeonghwa Lee

  • Acupuncturist
  • Irvine, CA
  • NPI 1063905974
  NPD (past)
• Jiyeon Lee

  • Acupuncturist
  • Irvine, CA
  • NPI 1982197885
  NPD (past)

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528588800000",
    "number": "1124511662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE I105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182210",
            "telephone_number": "949-537-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE I105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182210",
            "telephone_number": "949-537-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW PACIFIC WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-10",
        "last_updated": "2018-06-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUN WOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-500-5578"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Globerman, MD
• Terry L Globerson, MD
• Glover Chiropractic, Inc.
• Earline Glover
• Yana Glover
• Kenneth Preston Gober
• Lixia Wang Goble, NP-C
• Vanila Godara, DDS
• Natalya Godes, PSYD
• Kishen D Godhia, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; 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.