Healing Gate Acupuncture & Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEALING GATE ACUPUNCTURE & WELLNESS CENTER

Practice address

823 W Wilshire Ave
Fullerton, CA 92832-1649

Phone

(714) 869-3087

Fax

(714) 459-7394

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Yongsub Jung, DAOMNPI 1184091548

Title

Owner

Phone

(714) 869-3087

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.

• Yongsub Jung

  • Acupuncturist
  • Fullerton, CA
  • NPI 1184091548
  NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1396411211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W WILSHIRE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321649",
            "telephone_number": "714-869-3087",
            "fax_number": "714-459-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W WILSHIRE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321649",
            "telephone_number": "714-869-3087",
            "fax_number": "714-459-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GATE ACUPUNCTURE & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "YONGSUB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-869-3087",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.