Siwa Medical Group Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC17443 Issued in CA

Legal business name

SIWA MEDICAL GROUP INC

Doing business as

Siwa Healing Center

Practice address

1010 Wilshire Blvd Apt 315
Los Angeles, CA 90017-5664

Phone

(213) 220-4845

Fax

(213) 785-5166

NPI assigned

Oct 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Sooyeol Kim, L.AC

Title

Acupuncturist

Phone

(213) 220-4845

Specialties & licenses 1

Addresses

Other names 1

• Siwa Healing Center Doing business as

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507939200000",
    "number": "1164933370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WILSHIRE BLVD APT 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175664",
            "telephone_number": "213-220-4845",
            "fax_number": "213-785-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WILSHIRE BLVD APT 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175664",
            "telephone_number": "213-220-4845",
            "fax_number": "213-785-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIWA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-14",
        "last_updated": "2017-10-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOOYEOL",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "213-220-4845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siwa Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priya Siva, OTR/L, ATP
• Archana Sivanandam, MD
• Gwyn O Sivertsen, NP
• Rose Howell Sivilli, MD
• Georgy Sivkov
• Anita Six
• Sixsigmacare Healthcare Solutions, Inc
• Aida Casandra Sixtos
• Stephanie Yoselin Sixtos
• Aida Siyahian, MD

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; 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.