NPIMap

Organization Active NPI

Ikjae Acupuncture & Herbs Clinic Inc.

Doing business as Olympic Acupuncture & Herbs Clinic

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1255728036
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
7784 Issued in CA
Legal business name
IKJAE ACUPUNCTURE & HERBS CLINIC INC.
Doing business as
Olympic Acupuncture & Herbs Clinic
Practice address
3663 W 6TH St Ste 202
Los Angeles, CA 90020-3048
Phone
(323) 733-5940
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Authorized official

Name
Myung Hwa Chung, PH.D.NPI 1689722860
Title
Owner
Phone
(323) 733-5940

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
Primary Care Clinic/Center 261QP2300X 7784 CA Primary

Addresses

Primary practice location

3663 W 6TH St Ste 202
Los Angeles, CA 90020-3048

Mailing address

3663 W 6TH St Ste 202
Los Angeles, CA 90020-3048
Phone (323) 733-5940

Other names 1

  • Olympic Acupuncture & Herbs Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3663 W 6th St
Ste 202
Los Angeles, CA 90020
Phone (213) 365-1000

Practitioners & affiliated clinicians

Practitioners 2

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": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1255728036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203048",
            "telephone_number": "323-733-5940",
            "fax_number": "213-381-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203048",
            "telephone_number": "323-733-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKJAE ACUPUNCTURE & HERBS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "MYUNG HWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-733-5940",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "7784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Acupuncture & Herbs Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olympic Acupuncture & Herbs Clinic",
            "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 Mar 6, 2021; 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.