Organization Active NPI

Inner Beauty Acu Clinic

  • Acupuncturist
  • Tustin, CA
National Provider Identifier
1548996465
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
INNER BEAUTY ACU CLINIC
Doing business as
Inner Beauty Acu Clinic
Practice address
12711 Newport Ave Ste a
Tustin, CA 92780-8008
Phone
(949) 527-8348
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Dr. Su Mi Won
Title
C.E.O
Phone
(949) 527-8348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

12711 Newport Ave Ste a
Tustin, CA 92780-8008

Mailing address

12711 Newport Ave Ste a
Tustin, CA 92780-8008
Phone (949) 527-8348

Other names 1

  • Inner Beauty Acu Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

12711 Newport Ave
Ste A
Tustin, CA 92780
Phone (949) 527-8348

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1548996465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12711 NEWPORT AVE STE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808008",
            "telephone_number": "949-527-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12711 NEWPORT AVE STE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808008",
            "telephone_number": "949-527-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BEAUTY ACU CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "SU MI",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "949-527-8348",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Beauty Acu Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.