Organization Active NPI

Daniel Medical Group, Inc.

  • Acupuncturist
  • Gardena, CA
National Provider Identifier
1396147682
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10176 Issued in CA
Legal business name
DANIEL MEDICAL GROUP, INC.
Practice address
2015 W Redondo Beach Blvd.
Ste F
Gardena, CA 90247
Phone
(424) 340-9357
Fax
(424) 340-9357
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
SE Yeong Oh, L.ACNPI 1740406180
Title
President
Phone
(949) 892-9929

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC10176 CA Primary

Addresses

Primary practice location

2015 W Redondo Beach Blvd.
Ste F
Gardena, CA 90247

Mailing address

2012 Brooke Lane.
Fullerton, CA 92833
Phone (714) 340-6590

Other names 1

  • Danielsacupuncture (Daniels Acupuncture) Former legal business name

National Provider Directory

National Provider Directory

Locations

2015 W Redondo Beach Blvd
Ste F
Gardena, CA 90247
Phone (424) 340-9357

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": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1396147682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 BROOKE LANE.",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92833",
            "telephone_number": "714-340-6590",
            "fax_number": "714-236-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W REDONDO BEACH BLVD.",
            "address_2": "STE F",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90247",
            "telephone_number": "424-340-9357",
            "fax_number": "424-340-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SE YEONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-892-9929",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danielsacupuncture (Daniels Acupuncture)",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.