JK Acupuncture Clinic, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14491 Issued in CA

Legal business name

JK ACUPUNCTURE CLINIC, INC

Doing business as

Rapha Wellness Clinic

Practice address

2001 S Barrington Ave
Suite 212
Los Angeles, CA 90025-5363

Phone

(213) 444-1155

Fax

(213) 402-5183

NPI assigned

Nov 30, 2011

Last updated

Dec 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jungkyo ParkNPI 1023392792

Title

Ceo

Phone

(213) 444-1155

Specialties & licenses 1

Addresses

Other names 1

• Rapha Wellness Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jung Kyo Park

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1023392792
  NPD (past) Authorized official

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1548537806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20435 S VERMONT AVE",
            "address_2": "UNIT 2",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905023150",
            "telephone_number": "213-444-1155",
            "fax_number": "213-402-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "SUITE 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "213-444-1155",
            "fax_number": "213-402-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK ACUPUNCTURE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNGKYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-444-1155"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapha Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Jiyamapa, MD
• JJ Acu & Herb Clinic
• JJ Hekmat & FF Hekmat MD Medical Group
• JJ&R Emergency Medical Group of California, Inc.
• JJ&R Emergency Medical Group of California, Inc.
• JK Healthcare Management Inc (One Medical Clinic)
• JKC Neurology Medical Group Inc
• JM Medical Solutions, LLC
• JMC Drug Inc. (Owl Rexall Drugs)
• JMC Pharmacy, Inc. (Key Drug Company)

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.