Miso Acupuncture, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MISO ACUPUNCTURE, INC.

Practice address

7151 Lincoln Ave Ste K
Buena Park, CA 90620-4615

Phone

(714) 952-1080

Fax

(714) 952-1660

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Sujin Lee

Title

President

Phone

(714) 321-4095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1316725799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 LINCOLN AVE STE K",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204615",
            "telephone_number": "714-952-1080",
            "fax_number": "714-952-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 LINCOLN AVE STE K",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204615",
            "telephone_number": "714-952-1080",
            "fax_number": "714-952-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISO ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUJIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-321-4095",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.