Tae Acupuncture Corp

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

TAE ACUPUNCTURE CORP

Doing business as

Tae Oriental Medicine

Practice address

74399 Highway 111 Ste a
Palm Desert, CA 92260-4128

Phone

(949) 812-9457

NPI assigned

Jan 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Taehyang Kim, LAC, PHDNPI 1174828578

Title

Ceo

Phone

(949) 812-9457

Specialties & licenses 1

Addresses

Other names 1

• TAE ORIENTAL MEDICINE Doing business as

Locations

Practitioners 1

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

• Taehyang Kim, LA.C

  • Acupuncturist
  • Tustin, CA
  • NPI 1174828578
  NPD Authorized official

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1417660796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BLUE JAY LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923741651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74399 HIGHWAY 111 STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604128",
            "telephone_number": "949-812-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAE ACUPUNCTURE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAEHYANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-812-9457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, PHD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAE ORIENTAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Swain
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• Odalys Margarita Tamayo

• Acupuncturist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.