California Green Cross Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12340 Issued in CA

Legal business name

CALIFORNIA GREEN CROSS CLINIC

Practice address

2120 W 8TH St Ste 310
Los Angeles, CA 90057-4084

Phone

(213) 388-9688

Fax

(213) 388-9608

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Doosik Kim

Title

Ceo

Phone

(213) 388-9688

Specialties & licenses 1

Addresses

Tax ID family

California Green Cross Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• California Green Cross Clinic

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1720400013
  NPD tax ID

Locations

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1407268451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W 8TH ST STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W 8TH ST STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574084",
            "telephone_number": "213-388-9688",
            "fax_number": "213-388-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA GREEN CROSS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOOSIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-388-9688"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• California Green Cross Clinic
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• California Health, Alcohol &. Drug Education Program, Inc.

• 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 May 27, 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.