Individual provider Active NPI

Tae Hoon Oak, L.AC

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1316214802
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
6907 Issued in CA
Practice address
13151 Brookhurst St
Garden Grove, CA 92843-1079
Phone
(714) 539-1300
Fax
(714) 539-1302
NPI assigned
Nov 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 6907 CA Primary

Addresses

Primary practice location

13151 Brookhurst St
Garden Grove, CA 92843-1079

Mailing address

5047 Hanover Cir
Cypress, CA 90630-3652
Phone (213) 435-1952

Other names 1

  • Taehoon Oak Other name

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

LicenseStateTypeSpecialty
6907CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1316214802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 HANOVER CIR",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303652",
            "telephone_number": "213-435-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431079",
            "telephone_number": "714-539-1300",
            "fax_number": "714-539-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAK",
        "first_name": "TAE HOON",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "6907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAEHOON",
            "last_name": "OAK",
            "credential": "L.AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 16, 2013; 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.