Organization Active NPI

Mirae Acupuncture, Inc.

  • Acupuncturist
  • Irvine, CA
National Provider Identifier
1518228337
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13371 Issued in CA
Legal business name
MIRAE ACUPUNCTURE, INC.
Practice address
4980 Barranca Pkwy #130
Irvine, CA 92604-8645
Phone
(949) 336-8998
Fax
(949) 336-8558
NPI assigned
Jun 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Minkyung Jung, L.AC.NPI 1831465798
Title
L.Ac.
Phone
(949) 336-8998

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 AC13371 CA Primary

Addresses

Primary practice location

4980 Barranca Pkwy #130
Irvine, CA 92604-8645

Mailing address

4980 Barranca Pkwy #130
Irvine, CA 92604-8645
Phone (949) 336-8998

Other identifiers 1

IdentifierTypeStateIssuer
AC13371OtherCAACUPUNCTURE

National Provider Directory

National Provider Directory

Locations

4980 Barranca Pkwy
Ste 130
Irvine, CA 92604
Phone (949) 336-8998

Practitioners & affiliated clinicians

Practitioners 1

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": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1518228337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY #130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048645",
            "telephone_number": "949-336-8998",
            "fax_number": "949-336-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY #130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048645",
            "telephone_number": "949-336-8998",
            "fax_number": "949-336-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAE ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "MINKYUNG",
        "authorized_official_title_or_position": "L.AC.",
        "authorized_official_telephone_number": "949-336-8998",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC13371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.