Peebro Skin & Total Health Care

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11181 Issued in CA

Legal business name

PEEBRO SKIN & TOTAL HEALTH CARE

Practice address

408 S. Beach Blvd
#108
Anaheim, CA 92804

Phone

(714) 821-7900

Fax

(714) 821-7901

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hyo Song, ACUPUNCTURIST

Title

President

Phone

(714) 821-7900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1477879419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S. BEACH BLVD",
            "address_2": "#108",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-821-7900",
            "fax_number": "714-821-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S. BEACH BLVD",
            "address_2": "#108",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-821-7900",
            "fax_number": "714-821-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEBRO SKIN & TOTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-821-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanna Marie Pearson
• Jasmine Gabrielle Pecina
• Pediatric Medical Associates of Orange County Inc
• Kristina Pedraza
• Brionna Pedroza
• Kathryn Whitney Peek
• Mackenna Pefley, PPS
• David Joshua Peig
• Lilly Beth Pelayo, ANMT
• Mark Drew Pellegrino, MD

• Acupuncturist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.