Organization Active NPI

Dawoom Healthcare Center, Inc.

  • Acupuncturist
  • Santa Maria, CA
National Provider Identifier
1457965931
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DAWOOM HEALTHCARE CENTER, INC.
Practice address
124 Carmen LN Ste E
Santa Maria, CA 93458-7768
Phone
(805) 728-1003
Fax
(805) 623-5527
NPI assigned
Sep 2, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Dr. Sung Sook Seo, L.AC
Title
President
Phone
(805) 728-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

124 Carmen LN Ste E
Santa Maria, CA 93458-7768

Mailing address

124 Carmen LN Ste E
Santa Maria, CA 93458-7768
Phone (805) 728-1003

Other practice location 1

200 S 13th St
Grover Beach, CA 93433-3302
Phone (805) 728-1003

Other names 1

  • DAWOOM ACUPUNCTURE CENTER Other name

National Provider Directory

National Provider Directory

Locations

124 Carmen Ln
Ste E
Santa Maria, CA 93458
Phone (805) 728-1003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1457965931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CARMEN LN STE E",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587768",
            "telephone_number": "805-728-1003",
            "fax_number": "805-623-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CARMEN LN STE E",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587768",
            "telephone_number": "805-728-1003",
            "fax_number": "805-623-5527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S 13th St",
            "address_purpose": "LOCATION",
            "city": "Grover Beach",
            "state": "CA",
            "postal_code": "934333302",
            "country_code": "US",
            "telephone_number": "805-728-1003",
            "fax_number": "805-623-5527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAWOOM HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-12-03",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "SOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-728-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAWOOM ACUPUNCTURE CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DAWOOM ACUPUNCTURE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.