NPIMap

Organization Active NPI

CW Acupuncture

  • Acupuncturist
  • Cerritos, CA
National Provider Identifier
1457787996
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 13873 Issued in CA
Legal business name
CW ACUPUNCTURE
Practice address
11821 Del Amo Blvd
Cerritos, CA 90703-7605
Phone
(562) 403-0127
Fax
(562) 860-0280
NPI assigned
Sep 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Juntae Park, LA.CNPI 1740584259
Title
Owner
Phone
(562) 403-0127

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: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 13873 CA Primary

Addresses

Primary practice location

11821 Del Amo Blvd
Cerritos, CA 90703-7605

Mailing address

11821 Del Amo Blvd
Cerritos, CA 90703-7605
Phone (562) 403-0127

National Provider Directory

National Provider Directory

Locations

11821 Del Amo Blvd
Cerritos, CA 90703
Phone (562) 403-0127

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": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1457787996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 DEL AMO BLVD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037605",
            "telephone_number": "562-403-0127",
            "fax_number": "562-860-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 DEL AMO BLVD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037605",
            "telephone_number": "562-403-0127",
            "fax_number": "562-860-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CW ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNTAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-403-0127",
        "authorized_official_credential": "LA.C"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.