Organization Active NPI

Kang Nam Acupuncture Inc.

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1497086763
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
L.AC12000 Issued in CA
Legal business name
KANG NAM ACUPUNCTURE INC.
Practice address
5797 Beach Blvd
Buena Park, CA 90621-2044
Phone
(714) 522-6200
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Mu Sung Kim, L.AC
Title
Ceo
Phone
(714) 522-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X L.AC12000 CA Primary

Addresses

Primary practice location

5797 Beach Blvd
Buena Park, CA 90621-2044

Mailing address

5797 Beach Blvd
Buena Park, CA 90621-2044
Phone (714) 522-6200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1497086763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5797 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212044",
            "telephone_number": "714-522-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5797 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212044",
            "telephone_number": "714-522-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG NAM ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MU",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-522-6200",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "L.AC12000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.