Organization Active NPI

Miracle Acupuncture Professional Corporation

  • Clinic/Center
  • Los Gatos, CA
National Provider Identifier
1629444872
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIRACLE ACUPUNCTURE PROFESSIONAL CORPORATION
Practice address
14127 Capri Dr
Suite 5a
Los Gatos, CA 95032-1534
Phone
(408) 726-6375
Fax
(855) 856-6747
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Siheon Lee, L.ACNPI 1366824872
Title
President
Phone
(408) 726-6375

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
Clinic/Center 261Q00000X CA Primary

Addresses

Primary practice location

14127 Capri Dr
Suite 5a
Los Gatos, CA 95032-1534

Mailing address

1032 W Hedding St
San Jose, CA 95126-1217
Phone (408) 726-6375

National Provider Directory

National Provider Directory

Locations

14127 Capri Dr
Ste 5A
Los Gatos, CA 95032
Phone (408) 726-6375

1032 W Hedding St
San Jose, CA 95126
Phone (408) 246-3525

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": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629444872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 W HEDDING ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261217",
            "telephone_number": "408-726-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14127 CAPRI DR",
            "address_2": "SUITE 5A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321534",
            "telephone_number": "408-726-6375",
            "fax_number": "855-856-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE ACUPUNCTURE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SIHEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-726-6375",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.