Active NPI
Acumedi Health Clinics
- Health Maintenance Organization
- Chatsworth, CA
National Provider Identifier
1457795346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- AC14516
- Legal business name
- ACUMEDI HEALTH CLINICS
- Practice address
- 19821 Itasca St
Chatsworth, CA 91311-5607 - Phone
- (213) 505-1071
- NPI assigned
- Apr 22, 2013
- Organization subpart
- Yes
- Parent organization
- ACUMEDI HEALTH CLINICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sang Jae Lee, LAC.
- Title
- President
- Phone
- (213) 505-1071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | AC14516 | CA | Primary |
Addresses
Primary practice location
19821 Itasca St
Chatsworth, CA 91311-5607
Mailing address
19821 Itasca St
Chatsworth, CA 91311-5607
Phone (213) 505-1071
National Provider Directory
National Provider Directory- Part of
- Acumedi Health Clinics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366588800000",
"number": "1457795346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19821 ITASCA ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913115607",
"telephone_number": "213-505-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19821 ITASCA ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913115607",
"telephone_number": "213-505-1071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACUMEDI HEALTH CLINICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACUMEDI HEALTH CLINICS",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "SANG JAE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-505-1071",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LAC."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "AC14516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Ad Medical Supply Inc.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.