Pure Wave Medical Group Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16982 Issued in CA

Legal business name

PURE WAVE MEDICAL GROUP INC

Practice address

614 S Brea Blvd
Brea, CA 92821-5307

Phone

(714) 681-2785

NPI assigned

May 20, 2016

Organization subpart

No

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

Authorized official

Name

Jonghan Kang, L.ACNPI 1467820571

Title

Ceo

Phone

(714) 681-2785

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonghan Kang, L.AC., PH.D.

  • Acupuncturist
  • Fullerton, CA
  • NPI 1467820571
  NPD Authorized official

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1477900231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 AVENIDA SELVA",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331560",
            "telephone_number": "714-681-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215307",
            "telephone_number": "714-681-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE WAVE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JONGHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-681-2785",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16982",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "56189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Michael Prior, M.S. LMFT, BCBA
• Providence Medical Foundation
• Joseph Prunean, OTR/L
• Daria Li Pukshansky
• Reid Victor Pullen, D.D.S.
• Kaysha Quijote
• R. Adams Chiropractic Inc.
• Rachel Lim Dental Corporation
• Mary Bryce Rae, MFT
• Lynn Raine, PHD, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.