MK Naturopathic and Acupuncture Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14637 Issued in CA

Legal business name

MK NATUROPATHIC AND ACUPUNCTURE INC

Doing business as

MK Integrative Wellness

Practice address

6540 Lusk Blvd Ste C139
San Diego, CA 92121-2696

Phone

(619) 309-6069

Fax

(619) 550-0569

NPI assigned

Mar 3, 2017

Last updated

Mar 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Min Kyun Kim, N.D., L.AC.NPI 1336406966

Title

Ceo

Phone

(619) 309-6069

Specialties & licenses 2

Addresses

Other names 1

• MK INTEGRATIVE WELLNESS Doing business as

Locations

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.

• Min Kyun Kim, ND, L.AC.

  • Acupuncturist
  • Encinitas, CA
  • NPI 1336406966
  Authorized official Same address or phone

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1235679630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 SABRE HILL DR UNIT 180",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284180",
            "telephone_number": "619-309-6069",
            "fax_number": "619-550-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 LUSK BLVD STE C139",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212696",
            "telephone_number": "619-309-6069",
            "fax_number": "619-550-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK NATUROPATHIC AND ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIN KYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-309-6069",
        "authorized_official_credential": "N.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14637",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MK INTEGRATIVE WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ayumi Mizumoto, MS
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• Ericka Craft Mizuta, DPT
• Anna Mercedes Mizzell, MD
• Iren Mkrtychyan, DDS
• Eric Mlodzinski
• MML US Inc.
• Mnanna World,Inc (Comfort Shoe Center)
• Christina Louise Mnatzaganian, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.