Acusana Acupuncture Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ACUSANA ACUPUNCTURE INC

Doing business as

Acusana Acupuncture

Practice address

9828 Garden Grove Blvd Ste 106
Garden Grove, CA 92844-1652

Phone

(714) 530-3550

Fax

(714) 530-3550

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

ACUSANA ACUPUNCTURE INCAs reported in NPPES

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

Authorized official

Name

Seonho Park, LAC / DAOMNPI 1710735576

Title

C.E.O

Phone

(714) 530-3550

Specialties & licenses 1

Addresses

Other names 1

• Acusana Acupuncture Doing business as

Part of

Acusana Acupuncture Inc

Locations

Practitioners 4

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.

• Seonho Park

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1710735576
  NPD Authorized official
• Chung Soo Kim, AC

  • Acupuncturist
  • Walnut, CA
  • NPI 1619435765
  NPD (past)
• Ju Yun Kim, L.AC.

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1487237806
  NPD (past)
• Young SE Shin, L. AC.

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1316979677
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1194567040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD STE 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441652",
            "telephone_number": "714-530-3550",
            "fax_number": "714-530-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD STE 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441652",
            "telephone_number": "714-530-3550",
            "fax_number": "714-530-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUSANA ACUPUNCTURE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACUSANA ACUPUNCTURE INC",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SEONHO",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "714-530-3550",
        "authorized_official_credential": "LAC / DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acusana Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Jun 11, 2024; 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.