MK Health Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

AC12178 Issued in CA

Legal business name

MK HEALTH CENTER

Practice address

14104 Brookhurst St
Garden Grove, CA 92843-4604

Phone

(714) 636-3886

Fax

(714) 636-3459

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Junghee Jason Kim, L.ACNPI 1497904601

Title

President

Phone

(714) 636-3886

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Junghee Jason Kim, L.AC

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1497904601
  NPD (past) Authorized official

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338595200000",
    "number": "1396005476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14104 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434604",
            "telephone_number": "714-636-3886",
            "fax_number": "714-636-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14104 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434604",
            "telephone_number": "714-636-3886",
            "fax_number": "714-636-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-06-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNGHEE",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-636-3886",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "AC12178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davion Mitchell
• Erin Mitchell, BCBA
• Priscilla Jean Mitchum, CMA, BT
• Kari Jean Mizer, BA
• Clayton Mizutari, B.A.
• Ziyu Mo
• Mobile Medical Group of California
• Modern Drug Inc
• Modernhealth Specialty (PX), LLC
• Mohammad Abul-Fielat DDS Inc

• Health Maintenance Organization in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2012; 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.