Organization Active NPI

Gaya Orimed Clinic, Inc

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1598209447
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5712 Issued in CA
Legal business name
GAYA ORIMED CLINIC, INC
Practice address
621 S Virgil Ave
Suite 290
Los Angeles, CA 90005-4000
Phone
(213) 400-1012
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Mr. Dongwon Yoon, L.AC.NPI 1376872358
Title
President
Phone
(213) 400-1012

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 5712 CA Primary

Addresses

Primary practice location

621 S Virgil Ave
Suite 290
Los Angeles, CA 90005-4000

Mailing address

621 S Virgil Ave
Suite 290
Los Angeles, CA 90005-4000
Phone (213) 400-1012

National Provider Directory

National Provider Directory

Locations

621 S Virgil Ave
Ste 290
Los Angeles, CA 90005
Phone (213) 400-1012

Practitioners & affiliated clinicians

Practitioners 1

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": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1598209447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE",
            "address_2": "SUITE 290",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054000",
            "telephone_number": "213-400-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE",
            "address_2": "SUITE 290",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054000",
            "telephone_number": "213-400-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYA ORIMED CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "DONGWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-400-1012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 12, 2016; 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.