NPIMap

Organization Active NPI

Ryu Acupuncture Clinic, Inc.

  • Acupuncturist
  • Burbank, CA
National Provider Identifier
1497102834
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6016 Issued in CA
Legal business name
RYU ACUPUNCTURE CLINIC, INC.
Practice address
3808 W Riverside Dr
Suite 510
Burbank, CA 91505-4325
Phone
(818) 841-9790
Fax
(818) 841-9092
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Jay Ryu, L.AC, PH.D.NPI 1679755185
Title
Owner
Phone
(818) 841-9790

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 AC6016 CA Primary

Addresses

Primary practice location

3808 W Riverside Dr
Suite 510
Burbank, CA 91505-4325

Mailing address

3808 W Riverside Dr
Suite 510
Burbank, CA 91505-4325
Phone (818) 841-9790

Other identifiers 1

IdentifierTypeStateIssuer
1679755185OtherCANPI INDIVIDUAL PRACTITIONER

National Provider Directory

National Provider Directory

Locations

3808 W Riverside Dr
Ste 510
Burbank, CA 91505
Phone (818) 841-9790

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": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1497102834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR",
            "address_2": "SUITE 510",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054325",
            "telephone_number": "818-841-9790",
            "fax_number": "818-841-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR",
            "address_2": "SUITE 510",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054325",
            "telephone_number": "818-841-9790",
            "fax_number": "818-841-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYU ACUPUNCTURE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-841-9790",
        "authorized_official_credential": "L.AC, PH.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PRACTITIONER",
            "identifier": "1679755185",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.