Angelus Groups, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ANGELUS GROUPS, INC.

Practice address

903 Crenshaw Blvd Ste 101
Los Angeles, CA 90019-1965

Phone

(213) 247-5520

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Young Tae Kim, DR.

Title

Provider

Phone

(213) 434-4593

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1316577927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191965",
            "telephone_number": "213-247-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191965",
            "telephone_number": "213-247-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELUS GROUPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG TAE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "213-434-4593",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.