Organization Active NPI

Raphael Acupuncture

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1376179085
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
RAPHAEL ACUPUNCTURE
Practice address
3030 W Olympic Blvd Ste 204
Los Angeles, CA 90006-6505
Phone
(213) 407-6900
NPI assigned
Mar 14, 2020
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Kwang Soo Suk, ACUPUNCTURENPI 1548694136
Title
Physician
Phone
(213) 407-6900

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
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

3030 W Olympic Blvd Ste 204
Los Angeles, CA 90006-6505

Mailing address

3030 W Olympic Blvd Ste 204
Los Angeles, CA 90006-6505
Phone (213) 407-6900

National Provider Directory

National Provider Directory

Locations

3030 W Olympic Blvd
Ste 204
Los Angeles, CA 90006
Phone (213) 407-6900

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1376179085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066505",
            "telephone_number": "213-407-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066505",
            "telephone_number": "213-407-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-14",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "SUK",
        "authorized_official_first_name": "KWANG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-407-6900",
        "authorized_official_credential": "ACUPUNCTURE"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.