Organization Active NPI

Rodem Acupuncture, Inc

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1235901307
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
RODEM ACUPUNCTURE, INC
Doing business as
Rodem Acupuncture
Practice address
945 S Western Ave Ste 102
Los Angeles, CA 90006-1008
Phone
(323) 641-7500
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Hyounggun An, L.ACNPI 1952953952
Title
Ceo
Phone
(714) 319-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

945 S Western Ave Ste 102
Los Angeles, CA 90006-1008

Mailing address

945 S Western Ave Ste 102
Los Angeles, CA 90006-1008
Phone (323) 641-7500

Other names 1

  • Rodem Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

945 S Western Ave
Ste 102
Los Angeles, CA 90006
Phone (323) 641-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1235901307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 S WESTERN AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061008",
            "telephone_number": "323-641-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S WESTERN AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061008",
            "telephone_number": "323-641-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEM ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "HYOUNGGUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-319-6400",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodem Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.