NPIMap

Organization Active NPI

Endeo USA Inc

Doing business as Endeo Acupuncture

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1619498979
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ENDEO USA INC
Doing business as
Endeo Acupuncture
Practice address
6301 Beach Blvd Ste 200
Buena Park, CA 90621-4030
Phone
(714) 522-2100
NPI assigned
Jun 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Jeongbok NamNPI 1144759382
Title
C.E.O
Phone
(714) 356-5811

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 MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

6301 Beach Blvd Ste 200
Buena Park, CA 90621-4030

Mailing address

77 Hallmark
Irvine, CA 92620-3447

Other practice location 1

1111 W 6th St
Los Angeles, CA 90017-1800
Phone (213) 935-8403

Other names 1

  • Endeo Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

6301 Beach Blvd
Ste 200
Buena Park, CA 90621
Phone (714) 522-2100

1111 W 6th St
Los Angeles, CA 90017
Phone (213) 607-4400

Practitioners & affiliated clinicians

Practitioners 4

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": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1619498979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HALLMARK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD STE 200",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214030",
            "telephone_number": "714-522-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171800",
            "country_code": "US",
            "telephone_number": "213-935-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDEO USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "JEONGBOK",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "714-356-5811"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endeo Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.