Active NPI
Pansoo Oh, ACUPUNCTURIST
- Acupuncturist
- Garden Grove, CA
National Provider Identifier
1295975928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12609
- Practice address
- 8893 Garden Grove Blvd
Garden Grove, CA 92844-1249 - Phone
- (714) 537-7752
- NPI assigned
- Feb 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC12609 | CA | Primary |
Addresses
Primary practice location
8893 Garden Grove Blvd
Garden Grove, CA 92844-1249
Mailing address
PO Box 75240
Los Angeles, CA 90075-0240
Phone (714) 624-5323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC12609 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1295975928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75240",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900750240",
"telephone_number": "714-624-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8893 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441249",
"telephone_number": "714-537-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "PANSOO",
"name_prefix": "Mr.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.