Organization Active NPI

Pine Tree Acupuncture, Inc.

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1447613013
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15740 Issued in CA
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

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Sun Mi ParkNPI 1366863151
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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.