Mission Clinic, Inc a California Acupuncture Corpration

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MISSION CLINIC, INC A CALIFORNIA ACUPUNCTURE CORPRATION

Doing business as

Mission Clinic

Practice address

1740 W Gardena Blvd
Gardena, CA 90247-4764

Phone

(714) 319-6400

NPI assigned

Feb 21, 2020

Organization subpart

No

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

President

Phone

(714) 319-6400

Specialties & licenses 1

Addresses

Other names 1

• Mission Clinic Doing business as

Locations

Practitioners 1

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

• Hyounggun An, L.AC

  • Acupuncturist
  • Torrance, CA
  • NPI 1952953952
  NPD (past) Authorized official

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1285267856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474764",
            "telephone_number": "714-319-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CLINIC, INC A CALIFORNIA ACUPUNCTURE CORPRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "HYOUNGGUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": "Mission Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Miranda
• Jillian Mikaela Miranda
• Lourdes Ortega Miranda, LCSW
• Regina Lisette Miranda
• Kristin Marie Mischou, M.A.
• Accie Mitchell, M.D.
• Alison Mitchell
• Amy Mitchell
• M'Sai Mitchell
• Marlon Gerrick Mitchell, B.S.

• Acupuncturist in Gardena, CA
• Providers in Gardena, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.