Self Healing Acupuncture & Herb

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0948 Issued in AZ

Legal business name

SELF HEALING ACUPUNCTURE & HERB

Practice address

4410 W Union Hills Dr # A8
Glendale, AZ 85308-1660

Phone

(623) 266-0103

NPI assigned

Mar 18, 2015

Organization subpart

No

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

Authorized official

Name

Andrew Bosun Kim, LAC

Title

Msom

Phone

(623) 266-0103

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew Bosun Kim, L.AC

  • Acupuncturist
  • Glendale, AZ
  • NPI 1023521283
  NPD (past)

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1285028027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W UNION HILLS DR # A8",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081660",
            "telephone_number": "623-266-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W UNION HILLS DR # A8",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081660",
            "telephone_number": "623-266-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF HEALING ACUPUNCTURE & HERB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BOSUN",
        "authorized_official_title_or_position": "MSOM",
        "authorized_official_telephone_number": "623-266-0103",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Sekera
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• Cynthia Selim, OTR/L
• Kristine Sellberg, MD
• Constance L Sellers, CCC-SLP
• Giuliano Mario Selna
• Houshang Semino, MD

• Acupuncturist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.