Konosuke Sugiura, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14365 Issued in CA

Practice address

24241 Hawthorne Blvd.,
Torrance, CA 90505

Phone

(310) 600-4802

Fax

(310) 539-4816

NPI assigned

Mar 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1508108622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23805 ARLINGTON AVE",
            "address_2": "APT.#29",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016155",
            "telephone_number": "310-600-4802",
            "fax_number": "310-539-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24241 HAWTHORNE BLVD.,",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-600-4802",
            "fax_number": "310-539-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIURA",
        "first_name": "KONOSUKE",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Alexander Sugarman, MD
• Sugimori Dental Corporation
• Lisa Sugimori, DDS
• Toshifumi Sugimori, D.D.S.
• Ikuko Sugimoto, O.D.
• Meari Sugiyama
• Nami Sugiyama, L.A.C
• Betty Suh, D.M.D.
• Christina Marie Sullivan, MBA, MFT
• K. Sullivan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.