Seo Jeong Corporation

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC9925 Issued in CA

Legal business name

SEO JEONG CORPORATION

Practice address

16303 S Western Ave
Suite 9
Gardena, CA 90247-4674

Phone

(310) 538-9917

Fax

(310) 538-9918

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Jongwoon Kim, LAC

Title

President

Phone

(310) 538-9917

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1427201326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 S WESTERN AVE",
            "address_2": "SUITE 9",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474674",
            "telephone_number": "310-538-9917",
            "fax_number": "310-538-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 S WESTERN AVE",
            "address_2": "SUITE 9",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474674",
            "telephone_number": "310-538-9917",
            "fax_number": "310-538-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEO JEONG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONGWOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-538-9917",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUNCTURE LICENSE",
            "identifier": "AC9925",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.