Organization Active NPI

Hee K Jeung Wellness Clinic

  • Acupuncturist
  • Fremont, CA
National Provider Identifier
1285176537
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15619 Issued in CA
Legal business name
HEE K JEUNG WELLNESS CLINIC
Practice address
35202 Gawain CT
Fremont, CA 94536-2418
Phone
(510) 896-9164
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Hee Kyung Jeung, D.A.O.M
Title
Acupuncturist
Phone
(510) 896-9164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC15619 CA Primary

Addresses

Primary practice location

35202 Gawain CT
Fremont, CA 94536-2418

Mailing address

35202 Gawain CT
Fremont, CA 94536-2418

National Provider Directory

National Provider Directory

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": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1285176537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35202 GAWAIN CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945362418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35202 GAWAIN CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945362418",
            "telephone_number": "510-896-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEE K JEUNG WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "JEUNG",
        "authorized_official_first_name": "HEE",
        "authorized_official_middle_name": "KYUNG",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "510-896-9164",
        "authorized_official_credential": "D.A.O.M"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.