Organization Active NPI

Vita Acupuncture & Herbs

  • Acupuncturist
  • San Marcos, CA
National Provider Identifier
1144922519
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
VITA ACUPUNCTURE & HERBS
Practice address
910 W San Marcos Blvd Ste 109
San Marcos, CA 92078-1116
Phone
(442) 655-1183
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
SE Yong LeeNPI 1902558430
Title
President
Phone
(442) 655-1183

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

910 W San Marcos Blvd Ste 109
San Marcos, CA 92078-1116

Mailing address

910 W San Marcos Blvd Ste 109
San Marcos, CA 92078-1116
Phone (442) 655-1183

National Provider Directory

National Provider Directory

Locations

910 W San Marcos Blvd
Ste 109
San Marcos, CA 92078
Phone (442) 655-1183

Practitioners & affiliated clinicians

Practitioners 1

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": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1144922519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W SAN MARCOS BLVD STE 109",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781116",
            "telephone_number": "442-655-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W SAN MARCOS BLVD STE 109",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781116",
            "telephone_number": "442-655-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA ACUPUNCTURE & HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SE YONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "442-655-1183"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.