Active NPI
Samra Hamsoa, Inc.
Doing business as Samra Acupuncture Spinal Center
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1427299270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9503
- Legal business name
- SAMRA HAMSOA, INC.
- Doing business as
- Samra Acupuncture Spinal Center
- Practice address
- 1730 W Olympic Blvd
Suite 100
Los Angeles, CA 90015-1019 - Phone
- (213) 384-1100
- Fax
- (213) 384-1101
- NPI assigned
- Mar 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jae Hong Kim
- Title
- Officer
- Phone
- (213) 384-1100
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30810 | CA | |
| Acupuncturist | 171100000X | AC9503 | CA | Primary |
| Acupuncturist | 171100000X | AC4948 | CA | |
| Acupuncturist | 171100000X | AC13005 | CA | |
| Acupuncturist | 171100000X | AC12392 | CA | |
| Acupuncturist | 171100000X | AC12839 | CA |
Addresses
Primary practice location
1730 W Olympic Blvd
Suite 100
Los Angeles, CA 90015-1019
Mailing address
1730 W Olympic Blvd
Suite 100
Los Angeles, CA 90015-1019
Phone (213) 384-1100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC4948 | Other | CALIFORNIA ACUPUNCTURE BOARD | |
| AC9503 | Other | CALIFORNIA ACUPUNCTURE BOARD | |
| AC12392 | Other | CALIFORNIA ACUPUNCTURE BOARD | |
| AC12839 | Other | CALIFORNIA ACUPUNCTURE BOARD | |
| AC13005 | Other | CALIFORNIA ACUPUNCTURE BOARD |
Other names 1
- SAMRA ACUPUNCTURE SPINAL CENTER
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1033350806
-
- Acupuncturist
- Los Angeles, CA
- NPI 1770724536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236470400000",
"number": "1427299270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 W OLYMPIC BLVD",
"address_2": "SUITE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151019",
"telephone_number": "213-384-1100",
"fax_number": "213-384-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W OLYMPIC BLVD",
"address_2": "SUITE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151019",
"telephone_number": "213-384-1100",
"fax_number": "213-384-1101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMRA HAMSOA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-08",
"last_updated": "2009-03-08",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JAE",
"authorized_official_middle_name": "HONG",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "213-384-1100"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30810",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9503",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4948",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13005",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12392",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12839",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA ACUPUNCTURE BOARD",
"identifier": "AC4948",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA ACUPUNCTURE BOARD",
"identifier": "AC9503",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA ACUPUNCTURE BOARD",
"identifier": "AC12392",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA ACUPUNCTURE BOARD",
"identifier": "AC12839",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA ACUPUNCTURE BOARD",
"identifier": "AC13005",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAMRA ACUPUNCTURE SPINAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.