NPIMap

Organization Active NPI

Wongu Health Center

  • Acupuncturist
  • Las Vegas, NV
National Provider Identifier
1588315741
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WONGU HEALTH CENTER
Doing business as
Wongu Health Center
Practice address
8630 S Eastern Ave # NV
Las Vegas, NV 89123-2836
Phone
(702) 852-1280
Fax
(702) 551-0411
NPI assigned
Jan 10, 2022
Organization subpart
Yes
Parent organization
WONGU UNIVERSITY OF ORIENTAL MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Sanghyun Lee, OMD, L.ACNPI 1750752630
Title
President
Phone
(702) 852-1280

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 Primary

Addresses

Primary practice location

8630 S Eastern Ave # NV
Las Vegas, NV 89123-2836

Mailing address

8630 S Eastern Ave # NV
Las Vegas, NV 89123-2836
Phone (702) 852-1280

Other names 1

  • Wongu Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wongu Health Center2 organizations share this tax ID, including this one
Part of
Wongu Health Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1588315741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 S EASTERN AVE # NV",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232836",
            "telephone_number": "702-852-1280",
            "fax_number": "702-551-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 S EASTERN AVE # NV",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232836",
            "telephone_number": "702-852-1280",
            "fax_number": "702-551-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONGU HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WONGU UNIVERSITY OF ORIENTAL MEDICINE",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANGHYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-852-1280",
        "authorized_official_credential": "OMD, L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wongu Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wongu Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.