Active NPI
Pine Tree Acupuncture, Inc.
- Acupuncturist
- Buena Park, CA
National Provider Identifier
1447613013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC15740
- Legal business name
- PINE TREE ACUPUNCTURE, INC.
- Practice address
- 6286 Beach Blvd
Buena Park, CA 90621-2351 - Phone
- (714) 333-8363
- NPI assigned
- Mar 31, 2016
- 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
- Sun Mi Park
- Title
- President
- Phone
- (714) 333-8363
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC15740 | CA | Primary |
Addresses
Primary practice location
6286 Beach Blvd
Buena Park, CA 90621-2351
Mailing address
16000 Villa Yorba
Apt 615
Huntington Beach, CA 92647-3902
National Provider Directory
National Provider DirectoryLocations
6286 Beach Blvd
Buena Park, CA 90621
Phone (714) 333-8363
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Fountain Valley, CA
- NPI 1366863151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459382400000",
"number": "1447613013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 VILLA YORBA",
"address_2": "APT 615",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6286 BEACH BLVD",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212351",
"telephone_number": "714-333-8363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE TREE ACUPUNCTURE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-31",
"last_updated": "2016-03-31",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "SUN MI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-333-8363"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC15740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.