NPIMap

Organization Active NPI

Ladera Acupuncture Clinic

  • Acupuncturist
  • Mission Viejo, CA
National Provider Identifier
1457716722
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13192 Issued in CA
Legal business name
LADERA ACUPUNCTURE CLINIC
Practice address
26151 Marguerite Pkwy
Mission Viejo, CA 92692-5277
Phone
(714) 716-9373
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Kyungsoo YoonNPI 1538494364
Title
Acupuncturist
Phone
(714) 716-9373

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 AC13192 CA Primary

Addresses

Primary practice location

26151 Marguerite Pkwy
Mission Viejo, CA 92692-5277

Mailing address

26151 Marguerite Pkwy
Mission Viejo, CA 92692-5277
Phone (714) 716-9373

Other identifiers 1

IdentifierTypeStateIssuer
1538494364OtherCAACUPUNCTURIST

National Provider Directory

National Provider Directory

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": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1457716722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26151 MARGUERITE PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925277",
            "telephone_number": "714-716-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26151 MARGUERITE PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925277",
            "telephone_number": "714-716-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADERA ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "KYUNGSOO",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "714-716-9373"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "1538494364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.