Suk Sang Samuel Um, ACUPUNCTURE

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

AC10295 Issued in CA

Practice address

1435 W Beverly Blvd
Montebello, CA 90640-4154

Phone

(323) 887-7575

Fax

(323) 887-7503

NPI assigned

Apr 13, 2007

Last updated

Nov 28, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sam Hae, Inc

  dba Sam Hae Acupuncture Herb Clinic

  • Acupuncturist
  • Montebello, CA
  • NPI 1518357243
  Authorized official Same address or phone

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1518182880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404154",
            "telephone_number": "323-887-7575",
            "fax_number": "323-887-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404154",
            "telephone_number": "323-887-7575",
            "fax_number": "323-887-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UM",
        "first_name": "SUK SANG",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "ACUPUNCTURE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "AC10295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "AC0102950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Tygard
• Justin Uchida, P.A.
• Jasmine S Uitz
• Louie Shon Ulloa
• Ultimate Recovery Center LLC
• Alvin W. Ung, D.P.M.
• Mora Soleakana Ung
• Susan K Ung, O.D.
• United Surgery Center
• Universal Hospice Care, Inc.

• General Practice Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.