NPIMap

Organization Active NPI

Prime Acupuncture Clinic

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1275075491
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC17123 Issued in CA
Legal business name
PRIME ACUPUNCTURE CLINIC
Practice address
1818 S Western Ave
Suite 207
Los Angeles, CA 90006-5807
Phone
(323) 891-9031
NPI assigned
Nov 7, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Doosik Kim
Title
Ceo
Phone
(323) 891-9031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC17123 CA Primary

Addresses

Primary practice location

1818 S Western Ave
Suite 207
Los Angeles, CA 90006-5807

Mailing address

1818 S Western Ave
Suite 207
Los Angeles, CA 90006-5807
Phone (323) 891-9031

National Provider Directory

National Provider Directory
Tax ID family
Prime Acupuncture Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1818 S Western Ave
Ste 207
Los Angeles, CA 90006
Phone (213) 599-7202

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1275075491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S WESTERN AVE",
            "address_2": "SUITE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065807",
            "telephone_number": "323-891-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S WESTERN AVE",
            "address_2": "SUITE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065807",
            "telephone_number": "323-891-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOOSIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-891-9031"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC17123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 2016; 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.