Organization Active NPI

Lewelling Acupuncture Ctr

  • Acupuncturist
  • Hayward, CA
National Provider Identifier
1639258502
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC0004750 Issued in CA
Legal business name
LEWELLING ACUPUNCTURE CTR
Practice address
888 E Lewelling Blvd
Hayward, CA 94541-1108
Phone
(510) 278-3250
Fax
(510) 481-7788
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Jong Wan Kim, OMD
Title
Acupuncturist
Phone
(510) 278-3250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC0004750 CA Primary

Addresses

Primary practice location

888 E Lewelling Blvd
Hayward, CA 94541-1108

Mailing address

888 E Lewelling Blvd
Hayward, CA 94541-1108
Phone (510) 278-3250

Other names 1

  • Hesperian Acupuncture Ctr Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1639258502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 E LEWELLING BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411108",
            "telephone_number": "510-278-3250",
            "fax_number": "510-481-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 E LEWELLING BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411108",
            "telephone_number": "510-278-3250",
            "fax_number": "510-481-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWELLING ACUPUNCTURE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "WAN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "510-278-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OMD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC0004750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hesperian Acupuncture Ctr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.