JK Acupuncture, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC16765 Issued in CA

Legal business name

JK ACUPUNCTURE, INC.

Practice address

9898 Garden Grove Blvd
Garden Grove, CA 92844-1643

Phone

(657) 233-5342

NPI assigned

Apr 2, 2016

Last updated

Apr 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Choong Bae Lee, L.AC

Title

Vice President

Phone

(657) 233-5342

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459555200000",
    "number": "1164885513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441643",
            "telephone_number": "657-233-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441643",
            "telephone_number": "657-233-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-02",
        "last_updated": "2016-04-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHOONG",
        "authorized_official_middle_name": "BAE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "657-233-5342",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA ACUPUNCTURE BOARD",
            "identifier": "AC16765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Acupuncturist in California

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