NPIMap

Organization Active NPI

Ic Oriental Clinic

  • Clinic/Center
  • Orange, CA
National Provider Identifier
1356746325
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC15886 Issued in CA
Legal business name
IC ORIENTAL CLINIC
Practice address
1327 E Katella Ave
Orange, CA 92867
Phone
(714) 771-3127
Fax
(714) 406-2817
NPI assigned
Nov 3, 2014
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Seon Ho Song, L.ACNPI 1942604913
Title
Clinic Director
Phone
(714) 771-3127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC15886 CA Primary

Addresses

Primary practice location

1327 E Katella Ave
Orange, CA 92867

Mailing address

1327 E Katella Ave
Orange, CA 92867
Phone (714) 771-3127

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1356746325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92867",
            "telephone_number": "714-771-3127",
            "fax_number": "714-406-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92867",
            "telephone_number": "714-771-3127",
            "fax_number": "714-406-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IC ORIENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "SEON",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "714-771-3127",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC15886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.