Jiwon Investment, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12071 Issued in CA

Legal business name

JIWON INVESTMENT, INC.

Practice address

3111 W. Orange Ave. #201
Anaheim, CA 92804

Phone

(714) 761-5454

Fax

(714) 761-5453

NPI assigned

Sep 9, 2009

Organization subpart

No

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

Authorized official

Name

Sang Suk Bae, LAC

Title

President

Phone

(714) 761-5454

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1477886471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W. ORANGE AVE. #201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-761-5454",
            "fax_number": "714-761-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W. ORANGE AVE. #201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-761-5454",
            "fax_number": "714-761-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIWON INVESTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "SUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-761-5454",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC12071",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 9, 2009; 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.