Organization Active NPI

Carewell Medical Center, Inc.

  • Acupuncturist
  • Vernon, CA
National Provider Identifier
1639570229
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10231 Issued in CA
Legal business name
CAREWELL MEDICAL CENTER, INC.
Practice address
4501 S Alameda St
#D-3
Vernon, CA 90058-2010
Phone
(213) 259-9556
Fax
(888) 355-6203
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Mr. Kwangmyung Choo, L.ACNPI 1407986268
Title
President
Phone
(213) 259-9556

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 AC10231 CA Primary

Addresses

Primary practice location

4501 S Alameda St
#D-3
Vernon, CA 90058-2010

Mailing address

1906 Oceanside Blvd
Suite S
Oceanside, CA 92054-4484
Phone (213) 259-9556

National Provider Directory

National Provider Directory

Locations

1906 Oceanside Blvd
Ste S
Oceanside, CA 92054
Phone (619) 433-1290

4501 S Alameda St
#D3
Vernon, CA 90058
Phone (213) 259-9556

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": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1639570229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 OCEANSIDE BLVD",
            "address_2": "SUITE S",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544484",
            "telephone_number": "213-259-9556",
            "fax_number": "888-355-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S ALAMEDA ST",
            "address_2": "#D-3",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900582010",
            "telephone_number": "213-259-9556",
            "fax_number": "888-355-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "CHOO",
        "authorized_official_first_name": "KWANGMYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-259-9556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.