Organization Active NPI

JLMM Inc.

  • Acupuncturist
  • Lake Forest, CA
National Provider Identifier
1487059457
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13245 Issued in CA
Legal business name
JLMM INC.
Practice address
26741 Rancho Pkwy
Ste 103
Lake Forest, CA 92630-8710
Phone
(949) 206-0888
NPI assigned
Nov 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Dr. Kwan Woo Park, L.AC.
Title
Ceo
Phone
(949) 206-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC13245 CA Primary

Addresses

Primary practice location

26741 Rancho Pkwy
Ste 103
Lake Forest, CA 92630-8710

Mailing address

26741 Rancho Pkwy
Ste 103
Lake Forest, CA 92630-8710
Phone (949) 206-0888

Other names 1

  • ORIENT HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

26741 Rancho Pkwy
Ste 103
Lake Forest, CA 92630
Phone (949) 206-0888

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1487059457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26741 RANCHO PKWY",
            "address_2": "STE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308710",
            "telephone_number": "949-206-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26741 RANCHO PKWY",
            "address_2": "STE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308710",
            "telephone_number": "949-206-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLMM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KWAN",
        "authorized_official_middle_name": "WOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-206-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORIENT HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.