Organization Active NPI

Aj Acupuncture Clinic

  • Acupuncturist
  • Placentia, CA
National Provider Identifier
1609165133
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11989 Issued in CA
Legal business name
AJ ACUPUNCTURE CLINIC
Practice address
601 E Yorba Linda Blvd
#2B
Placentia, CA 92870-3006
Phone
(714) 312-5460
NPI assigned
Apr 5, 2011
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Myungsoo Mo, L.AC., PH.D.,
Title
Owner
Phone
(909) 263-0333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01843 MD
Acupuncturist 171100000X AC11989 CA Primary

Addresses

Primary practice location

601 E Yorba Linda Blvd
#2B
Placentia, CA 92870-3006

Mailing address

601 E Yorba Linda Blvd
#2B
Placentia, CA 92870-3006
Phone (714) 312-5460

National Provider Directory

National Provider Directory

Locations

601 E Yorba Linda Blvd
#2B
Placentia, CA 92870
Phone (714) 312-5460

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1609165133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD",
            "address_2": "#2B",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "714-312-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD",
            "address_2": "#2B",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "714-312-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "MO",
        "authorized_official_first_name": "MYUNGSOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-263-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC., PH.D.,"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01843",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.