Organization Active NPI

Daewon Healing, Inc.

Doing business as Dadeumi Acupuncture

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1558454884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10633 Issued in CA
Legal business name
DAEWON HEALING, INC.
Doing business as
Dadeumi Acupuncture
Practice address
3440 Wilshire Blvd Ste 542
Los Angeles, CA 90010-2127
Phone
(213) 427-9790
NPI assigned
Sep 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ji Young ParkNPI 1669681540
Title
President
Phone
(818) 571-6604

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
Acupuncturist 171100000X AC10633 CA Primary

Addresses

Primary practice location

3440 Wilshire Blvd Ste 542
Los Angeles, CA 90010-2127

Mailing address

27628 Beechwood Dr
Santa Clarita, CA 91351-3466
Phone (818) 571-6604

Other names 1

  • Dadeumi Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

3440 Wilshire Blvd
Ste 542
Los Angeles, CA 90010
Phone (213) 427-9790

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558454884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27628 BEECHWOOD DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513466",
            "telephone_number": "818-571-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 WILSHIRE BLVD STE 542",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102127",
            "telephone_number": "213-427-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAEWON HEALING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JI",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-571-6604"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dadeumi Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.