NPIMap

Organization Active NPI

Stanton University

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1477922110
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
STANTON UNIVERSITY
Practice address
9618 Garden Grove Blvd
Suite 221
Garden Grove, CA 92844-1563
Phone
(714) 539-6562
Fax
(714) 539-6542
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Dr. Thomas J Lee, DOMNPI 1144525007
Title
Clinic Doctor
Phone
(714) 539-6562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

9618 Garden Grove Blvd
Suite 221
Garden Grove, CA 92844-1563

Mailing address

9618 Garden Grove Blvd
Suite 221
Garden Grove, CA 92844-1563
Phone (714) 539-6562

Other names 1

  • stanton university pyunkang clinic Doing business as

National Provider Directory

National Provider Directory

Locations

9618 Garden Grove Blvd
Ste 221
Garden Grove, CA 92844
Phone (714) 539-6562

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1477922110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 GARDEN GROVE BLVD",
            "address_2": "SUITE 221",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441563",
            "telephone_number": "714-539-6562",
            "fax_number": "714-539-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 GARDEN GROVE BLVD",
            "address_2": "SUITE 221",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441563",
            "telephone_number": "714-539-6562",
            "fax_number": "714-539-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC DOCTOR",
        "authorized_official_telephone_number": "714-539-6562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stanton university pyunkang clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.