Bodhi Acupuncture

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

License

AC9341 Issued in CA

Legal business name

BODHI ACUPUNCTURE

Practice address

1772 Avenida de Los Arboles
Suite#C
Thousand Oaks, CA 91362

Phone

(805) 241-7775

Fax

(805) 241-7785

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Eun Sang Kim, PHD

Title

Owner

Phone

(805) 241-7775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1447418595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 AVENIDA E LOS ARBOLES",
            "address_2": "SUITE#C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-241-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE#C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-241-7775",
            "fax_number": "805-241-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUN",
        "authorized_official_middle_name": "SANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-241-7775",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "CA",
            "license": "AC9341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Thomas Johannes Blonsky
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• Blue Ribbon Hospice, Inc
• Bluewater Home Care
• Laura Yu Blumenthal, MD
• Michael G Bodnar, MD
• Body Accord Inc.
• Nicholas Bolin, PHARMD
• Coralie Bollier
• Siamak Bonabi, MD

• Chronic Disease Hospital in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Chronic Disease Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.