Asian Medicine Institute, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11296 Issued in CA

Legal business name

ASIAN MEDICINE INSTITUTE, INC.

Doing business as

EVERGREEN HERB CLINIC

Practice address

150 S Prospect Ave
Tustin, CA 92780-3617

Phone

(714) 731-3881

Fax

(714) 731-3831

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Prof. Munhwa Kim, PHD

Title

President

Phone

(714) 731-3881

Specialties & licenses 2

Addresses

Other names 1

• EVERGREEN HERB 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.

• Jane Hyun Kim, D.C.

  • Chiropractor
  • Tustin, CA
  • NPI 1811428295
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1316165293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S PROSPECT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803617",
            "telephone_number": "714-731-3881",
            "fax_number": "714-731-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S PROSPECT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803617",
            "telephone_number": "714-731-3881",
            "fax_number": "714-731-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN MEDICINE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MUNHWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-731-3881",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11296",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERGREEN HERB CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.