Hybrid Med Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

HYBRID MED INC.

Practice address

9943 Canoga Ave
Chatsworth, CA 91311-3002

Phone

(323) 337-3000

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Charlie Yoon

Title

President

Phone

(818) 389-4646

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1144604075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16461 SHERMAN WAY",
            "address_2": "SUITE 102",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914063842",
            "telephone_number": "323-337-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9943 CANOGA AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113002",
            "telephone_number": "323-337-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYBRID MED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-389-4646"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.