Eudemonia Medical Service

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2040223 Issued in CA

Legal business name

EUDEMONIA MEDICAL SERVICE

Practice address

1851 McCarthy Blvd #115
Milpitas, CA 95035

Phone

(408) 641-1004

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jae K Wi, M.D., PH.D.

Title

President

Phone

(408) 641-1004

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1326479858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 MCCARTHY BLVD STE 115",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357448",
            "telephone_number": "408-641-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MCCARTHY BLVD #115",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "95035",
            "telephone_number": "408-641-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUDEMONIA MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "WI",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-641-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2040223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo Sison Esteves, DO
• Joe Vincent Estioko
• Maria Gloria Estipona, D.D.S.
• Natalia Esuabana, ND
• Ettleton Dialysis LLC
• Eyevue Optometry, Inc.
• Ezway Mobility LLC
• Family Medicine Online
• Yan Feng
• Samantha Taylor Ferguson

• Clinical Medical Laboratory in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.