Soo Health Care, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC13245 Issued in CA

Legal business name

SOO HEALTH CARE, INC.

Practice address

1411 Warner Ave Ste D
Tustin, CA 92780-6461

Phone

(949) 533-6699

NPI assigned

Jan 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kwan Woo Park, L.AC. , DAOM

Title

Ceo/Acupuncturist

Phone

(949) 533-6699

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1396167789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WARNER AVE STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806461",
            "telephone_number": "949-533-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WARNER AVE STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806461",
            "telephone_number": "949-533-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KWAN WOO",
        "authorized_official_title_or_position": "CEO/ACUPUNCTURIST",
        "authorized_official_telephone_number": "949-533-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC. , DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Tustin, CA
• Providers in Tustin, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.