NPIMap

Organization Active NPI

Soorim Acupuncture Clinic, a Professional Corporation

Doing business as Soorim Acupuncture Clinic

  • Acupuncturist
  • Anaheim, CA
National Provider Identifier
1235537309
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14020 Issued in CA
Legal business name
SOORIM ACUPUNCTURE CLINIC, A PROFESSIONAL CORPORATION
Doing business as
Soorim Acupuncture Clinic
Practice address
1142 N Brookhurst St
Ste 140
Anaheim, CA 92801-1701
Phone
(657) 208-1153
Fax
(657) 208-1156
NPI assigned
Dec 5, 2014
Last updated
Dec 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Woo Jin Yang, L.AC.NPI 1194002808
Title
Director/Owner
Phone
(657) 208-1153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC14020 CA Primary

Addresses

Primary practice location

1142 N Brookhurst St
Ste 140
Anaheim, CA 92801-1701

Mailing address

23540 Crenshaw Blvd
Torrance, CA 90505-5203
Phone (657) 208-1153

Other names 1

  • SOORIM ACUPUNCTURE CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soorim Acupuncture Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1142 N Brookhurst St
Ste 140
Anaheim, CA 92801
Phone (657) 208-1153

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": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1235537309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23540 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055203",
            "telephone_number": "657-208-1153",
            "fax_number": "657-208-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 N BROOKHURST ST",
            "address_2": "STE 140",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011701",
            "telephone_number": "657-208-1153",
            "fax_number": "657-208-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOORIM ACUPUNCTURE CLINIC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "WOO JIN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "657-208-1153",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOORIM ACUPUNCTURE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.