Organization Active NPI

Dongin Agape Acupuncture, Inc.

  • Acupuncturist
  • Lakewood, CA
National Provider Identifier
1447581087
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10337 Issued in CA
Legal business name
DONGIN AGAPE ACUPUNCTURE, INC.
Practice address
21057 Bloomfield Ave
Lakewood, CA 90715-2308
Phone
(714) 335-0595
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Mi Ak Kang
Title
President
Phone
(714) 335-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC10337 CA Primary

Addresses

Primary practice location

21057 Bloomfield Ave
Lakewood, CA 90715-2308

Mailing address

21057 Bloomfield Ave
Lakewood, CA 90715-2308

Other identifiers 1

IdentifierTypeStateIssuer
AC10337OtherCAACUPUNCTURE

National Provider Directory

National Provider Directory

Locations

21057 Bloomfield Ave
Lakewood, CA 90715
Phone (714) 335-0595

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1447581087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21057 BLOOMFIELD AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907152308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21057 BLOOMFIELD AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907152308",
            "telephone_number": "714-335-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONGIN AGAPE ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "MI AK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-335-0595",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC10337",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.