Bethel Light Corporation

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 9139 Issued in CA

Legal business name

BETHEL LIGHT CORPORATION

Doing business as

DBA Beach Acupucnture

Practice address

408 S Beach Blvd Ste 110
Anaheim, CA 92804-1864

Phone

(714) 821-4823

Fax

(714) 821-4825

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Junghoon Paik, ACUPUNCTURISTNPI 1780745992

Title

President

Phone

(714) 821-4823

Specialties & licenses 1

Addresses

Other names 1

• DBA Beach Acupucnture 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, and the practitioner matching its NPPES authorized official.

• Junghoon Paik, L.AC

  • Acupuncturist
  • Anaheim, CA
  • NPI 1780745992
  NPD (past) Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1346414844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041864",
            "telephone_number": "714-821-4823",
            "fax_number": "714-821-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041864",
            "telephone_number": "714-821-4823",
            "fax_number": "714-821-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL LIGHT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "PAIK",
        "authorized_official_first_name": "JUNGHOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-821-4823",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 9139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Beach Acupucnture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Best
• Lina Best
• Jonathan Besuamlak
• Karla Betancourt
• Cristopher Carlos Betanzos
• Bethesda Medical Center
• Jordan Bets
• Lauren Betzhold
• Pike Fay Beveridge
• Beverly Radiology Medical Group III (Anaheim Advanced Imaging)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.