Life University Health Center

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

AC8057 Issued in CA

Legal business name

LIFE UNIVERSITY HEALTH CENTER

Practice address

555 W Redondo Beach Blvd
Gardena, CA 90248-1612

Phone

(310) 323-9001

Fax

(310) 756-0004

NPI assigned

Feb 3, 2014

Organization subpart

Yes

Parent organization

LIFE UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Dr. Dong Woo ParkNPI 1346572377

Title

Dean

Phone

(310) 323-9001

Specialties & licenses 1

Addresses

Part of

Life University Health Center

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dong Woo Park, L.AC

  • Acupuncturist
  • Gardena, CA
  • NPI 1346572377
  NPD (past) Authorized official
• Benjamin Kang, D.C.

  • Chiropractor
  • Artesia, CA
  • NPI 1063672004
  NPD (past)
• Chan Ho Kim

  • Acupuncturist
  • Gardena, CA
  • NPI 1558575407
  NPD (past)
• Chuyoun Song, L.AC

  • Acupuncturist
  • Gardena, CA
  • NPI 1316154115
  NPD (past)

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1588087050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902481612",
            "telephone_number": "310-323-9001",
            "fax_number": "310-756-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902481612",
            "telephone_number": "310-323-9001",
            "fax_number": "310-756-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE UNIVERSITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE UNIVERSITY",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "WOO",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "310-323-9001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "AC8057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selina Liang
• Oliva Licea
• Isabella Beggxis Lieberg
• Skylar Liebrecht
• Life Herbs Acupuncture Inc
• Abbie Lill
• Andreinne Lim, SLPA
• Flora Lim
• Katherine Lim
• Jenny Lima

• Physical Disabilities Residential Treatment Facility in Gardena, CA
• Providers in Gardena, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

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