Organization Active NPI

Ms Acupuncture Clinic Inc

  • Acupuncturist
  • Camarillo, CA
National Provider Identifier
1184072738
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13466 Issued in CA
Legal business name
MS ACUPUNCTURE CLINIC INC
Practice address
697 Mobil Ave
Camarillo, CA 93010-6315
Phone
(805) 484-9013
Fax
(805) 484-9015
NPI assigned
May 24, 2016
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Dr. Min Sug Kim, L. AC.
Title
Ceo
Phone
(805) 484-9013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC13466 CA Primary

Addresses

Primary practice location

697 Mobil Ave
Camarillo, CA 93010-6315

Mailing address

697 Mobil Ave
Camarillo, CA 93010-6315
Phone (805) 484-9013

National Provider Directory

National Provider Directory

Locations

697 Mobil Ave
Camarillo, CA 93010
Phone (805) 484-9013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1184072738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MOBIL AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106315",
            "telephone_number": "805-484-9013",
            "fax_number": "805-484-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MOBIL AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106315",
            "telephone_number": "805-484-9013",
            "fax_number": "805-484-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS ACUPUNCTURE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIN",
        "authorized_official_middle_name": "SUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-484-9013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.