Organization Active NPI

Dna Holistic Acupuncture Clinic

  • Acupuncturist
  • Anaheim, CA
National Provider Identifier
1396100137
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3385 Issued in CA
Legal business name
DNA HOLISTIC ACUPUNCTURE CLINIC
Practice address
2660 W Woodland Dr Ste 130
Anaheim, CA 92801-2618
Phone
(714) 828-2345
Fax
(714) 828-2393
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Mr. Whan P Lee, L.AC.
Title
Ceo
Phone
(714) 828-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC3385 CA Primary

Addresses

Primary practice location

2660 W Woodland Dr Ste 130
Anaheim, CA 92801-2618

Mailing address

2660 W Woodland Dr Ste 130
Anaheim, CA 92801-2618
Phone (714) 828-2345

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1396100137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 W WOODLAND DR STE 130",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012618",
            "telephone_number": "714-828-2345",
            "fax_number": "714-828-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 W WOODLAND DR STE 130",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012618",
            "telephone_number": "714-828-2345",
            "fax_number": "714-828-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA HOLISTIC ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-828-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.