Ja Deuk Hanbang Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11995 Issued in CA

Legal business name

JA DEUK HANBANG CLINIC

Practice address

3030 W Olympic Blvd
210
Los Angeles, CA 90006-6501

Phone

(213) 365-1758

Fax

(213) 365-1709

NPI assigned

Oct 9, 2008

Organization subpart

Yes

Parent organization

JA DEUK HANBANG CLINIC INCAs reported in NPPES

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

Authorized official

Name

Yunkyung Kim

Title

Chief Executive Officer

Phone

(213) 365-1758

Specialties & licenses 1

Addresses

Part of

Ja Deuk Hanbang Clinic

Locations

Practitioners 1

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

• Seungyong Lee, LAC

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1417112376
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1396996138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD",
            "address_2": "210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066501",
            "telephone_number": "213-365-1758",
            "fax_number": "213-365-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD",
            "address_2": "210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066501",
            "telephone_number": "213-365-1758",
            "fax_number": "213-365-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA DEUK HANBANG CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JA DEUK HANBANG CLINIC INC",
        "enumeration_date": "2008-10-09",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YUNKYUNG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "213-365-1758"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.