Boravy Muong-Keo, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

17791 Issued in CA

Practice address

3278 Padilla Way
San Jose, CA 95148-2745

Phone

(408) 834-3396

NPI assigned

Aug 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Boravy Muong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1235618885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 PADILLA WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482745",
            "telephone_number": "408-834-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3278 PADILLA WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482745",
            "telephone_number": "408-834-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUONG-KEO",
        "first_name": "BORAVY",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BORAVY",
            "last_name": "MUONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Barton Munro Jr., BSE, MBA
• Stella Marie Munsayac, PHARMD
• Sharanya Munshi, LCGC
• Kadijatu Khomson Munu
• Kalpna Munzni, M.D.
• Yohko Murakami, M.D.
• Priyanka Murali, MS, CGC
• Rachel Murata, DC
• Margaret A Murchan, MSW
• Edwin Murcia

• Acupuncturist in San Jose, CA
• Providers in San Jose, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.